Addus Healthcare, Inc.
Organization Active NPI In Home Supportive Care Agency · Rogers, AR
NPI 1689018673 · NPPES record last updated Nov 10, 2016
Key facts
- NPI
- 1689018673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- AR4954 (AR)
- Legal business name
- ADDUS HEALTHCARE, INC.
- Practice address
- 201 S 20TH St
Suite 11
Rogers, AR 72758-1104 - Phone
- (479) 877-3300
- Fax
- (877) 224-7103
- NPI assigned
- Apr 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Diane Kumarich, RN, MS, MBA
- Title
- National Contracts
- Phone
- (630) 296-3400
National Provider Directory
Locations
201 S 20th St
Ste 11
Rogers, AR 72758
Phone (479) 877-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR4954 | AR | |
| In Home Supportive Care Agency | 253Z00000X | AR4954 | AR | Yes |
Addresses
Primary practice location
201 S 20TH St
Suite 11
Rogers, AR 72758-1104
Mailing address
2300 Warrenville Rd
Suite 100
Downers Grove, IL 60515-1765
Phone (630) 296-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197340797 | Medicaid | AR | |
| 197338796 | Medicaid | AR | |
| 200411732 MAPC | Medicaid | AR | |
| 197342752 | Medicaid | AR | |
| 197341757 | Medicaid | AR |
Other names
- Addus HomeCare
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- Alfred R Addington
- Jacob B Adkison
- Adult Development Center of Benton Co., Inc.
- Adult Development Center of Benton Co., Inc. Dba Open Avenues
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All providers in Rogers, AR · In Home Supportive Care Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2016. 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.