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Addus Healthcare (Idaho), Inc.

Organization Active NPI In Home Supportive Care Agency · Libby, MT

NPI 1407019482 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1407019482
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
ADDUS HEALTHCARE (IDAHO), INC.
Practice address
415 W 9TH St
Libby, MT 59923-1766
Phone
(406) 293-9651
Fax
(406) 293-9706
NPI assigned
Jul 9, 2008
Organization subpart
Yes
Parent organization (as reported)
ADDUS HEALTH CARE INC

Authorized official

Name
Darby Anderson
Title
Evp, Chief Strategy Officer
Phone
(630) 296-3443

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Addus Healthcare Idaho Inc (7 organizations share this tax ID)
Part of
Addus Healthcare Inc

Locations

415 W 9th St
Libby, MT 59923
Phone (406) 293-9651

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193400000X SINGLE SPECIALTY GROUP		 171W00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

415 W 9TH St
Libby, MT 59923-1766

Mailing address

801 Warrenville Rd Ste 800
Lisle, IL 60532-0912
Phone (630) 296-3400

Other identifiers

IdentifierTypeStateIssuer
0681156MedicaidMT
4700075MedicaidMT

Other names

  • Addus HomeCare Doing business as

Other providers in Libby, MT

All providers in Libby, MT · In Home Supportive Care Agency in Montana

Sources for this page

Verify at the official NPI Registry.