NPIMap

Organization Active NPI

Adus Healthcare, Inc.

  • In Home Supportive Care Agency
  • Birmingham, AL
National Provider Identifier
1285036723
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
140218338 Issued in AL
Legal business name
ADUS HEALTHCARE, INC.
Practice address
1037 22ND St S Ste 101
Birmingham, AL 35205-2831
Phone
(205) 940-8500
Fax
(205) 940-8555
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Diane Kumrich, RN,MS,MBA
Title
National Contracts
Phone
(630) 296-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 140218338 AL Primary

Addresses

Primary practice location

1037 22ND St S Ste 101
Birmingham, AL 35205-2831

Mailing address

2300 Warrenville Rd Ste 100
Downers Grove, IL 60515-1765
Phone (630) 296-3400

Other identifiers 1

IdentifierTypeStateIssuer
PVT0080ZMedicaidAL

Other names 1

  • Addus HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Addus Healthcare Inc81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1037 22nd St S
Ste 101
Birmingham, AL 35205
Phone (205) 940-8500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1285036723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WARRENVILLE RD STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151765",
            "telephone_number": "630-296-3400",
            "fax_number": "630-487-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 22ND ST S STE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052831",
            "telephone_number": "205-940-8500",
            "fax_number": "205-940-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADUS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "KUMRICH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "NATIONAL CONTRACTS",
        "authorized_official_telephone_number": "630-296-3400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MS,MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": "140218338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PVT0080Z",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addus HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.