Addus Healthcare, Inc
Organization Active NPI In Home Supportive Care Agency · York, PA
NPI 1477734580 · NPPES record last updated Jan 22, 2021
Key facts
- NPI
- 1477734580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- ADDUS HEALTHCARE, INC
- Practice address
- 140 Roosevelt Ave Ste 208
York, PA 17401-3333 - Phone
- (717) 843-7845
- Fax
- (855) 893-0655
- NPI assigned
- Nov 16, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ADDUS HOMECARE CORPORATION
Authorized official
- Name
- Mr. Darby Anderson
- Title
- Director National Contracts
- Phone
- (630) 296-3591
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Addus Healthcare Inc
Locations
140 Roosevelt Ave
Ste 208
York, PA 17401
Phone (717) 843-7845
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
140 Roosevelt Ave Ste 208
York, PA 17401-3333
Mailing address
2300 Warrenville Rd Ste 100
Downers Grove, IL 60515-1717
Phone (630) 296-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728460-0006 | Medicaid | PA |
Other names
- Addus HomeCare
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.