Active NPI
Addus Healthcare, Inc.
- Home Health Agency
- Riverside, CA
National Provider Identifier
1750347365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 250000769
- Legal business name
- ADDUS HEALTHCARE, INC.
- Practice address
- 2375 Chicago Ave
Riverside, CA 92507-6902 - Phone
- (951) 774-3023
- Fax
- (951) 774-3027
- NPI assigned
- Apr 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Diane Kumarich, RN, MS, MBA
- Title
- National Contracts
- Phone
- (847) 303-5300
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | 250000769 | CA | Primary |
| Home Infusion Agency | 251F00000X | |||
| Home Infusion Agency | 251F00000X | 25000769 | CA | |
| Nursing Care Agency | 251J00000X | |||
| Nursing Care Agency | 251J00000X | 25000769 | CA |
Addresses
Primary practice location
2375 Chicago Ave
Riverside, CA 92507-6902
Mailing address
2401 S Plum Grove Rd
Palatine, IL 60067
Phone (847) 303-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08095F | Medicaid | CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1750347365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S PLUM GROVE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "60067",
"telephone_number": "847-303-5300",
"fax_number": "847-303-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 CHICAGO AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076902",
"telephone_number": "951-774-3023",
"fax_number": "951-774-3027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDUS HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-22",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "KUMARICH",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "NATIONAL CONTRACTS",
"authorized_official_telephone_number": "847-303-5300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, MS, MBA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "250000769",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "CA",
"license": "25000769",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CA",
"license": "25000769",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08095F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.