Addus Healthcare (Idaho), Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HH-229 Issued in ID

Legal business name

ADDUS HEALTHCARE (IDAHO), INC.

Doing business as

A Full Life Health Care Inc.

Practice address

233 E Locust Ave
Coeur D Alene, ID 83814-5748

Phone

(208) 765-8016

Fax

(208) 765-0690

NPI assigned

Jul 10, 2006

Last updated

May 26, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ADDUS HEALTHCARE, INC.As reported in NPPES

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 2

Addresses

Other names 1

• A Full Life Health Care Inc. Doing business as

Part of

Adus Healthcare Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Addus Healthcare Inc

  dba Addus HomeCare

  • Home Health Agency
  • Dover, DE
  • NPI 1366408932

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1790718781",
    "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": "600677486",
            "telephone_number": "847-303-5300",
            "fax_number": "847-303-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E LOCUST AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145748",
            "telephone_number": "208-765-8016",
            "fax_number": "208-765-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDUS HEALTHCARE (IDAHO), INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HEALTHCARE, INC.",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-05-26",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH229",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Full Life Health Care Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Christine Adams, MSN, PMHNP-BC
• Lindsay Marie Adams, ARNP
• Adapt Prosthetics and Orthotics LLC
• Adapt Spine & Sport
• Addus Healthcare (Idaho), Inc. (Addus HomeCare)
• Jason Matthew Adleberg, MD
• Katie J Adrian, RD
• Adult and Geriatric Medical Care, P.C.
• Advanced Health Center PC
• Advanced Home Health Incorporated

• Home Health Agency in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.