Organization Active NPI

Addus Healthcare, Inc.

  • Home Health Agency
  • Riverside, CA
National Provider Identifier
1750347365
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
250000769 Issued in CA
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

Updated by the provider on Jan 16, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA08095FMedicaidCA

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.