NPIMap

Organization Active NPI

Addus Healthcare, Inc.

Doing business as Addus HomeCare

  • In Home Supportive Care Agency
  • Mount Vernon, IL
National Provider Identifier
1922301514
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1971322 Issued in IL
Legal business name
ADDUS HEALTHCARE, INC.
Doing business as
Addus HomeCare
Practice address
2929 Broadway St Ste 7a
Mount Vernon, IL 62864-2383
Phone
(618) 244-4481
Fax
(855) 890-2423
NPI assigned
Dec 21, 2010
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ADDUS HOMECARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Darby Anderson
Title
Evp, Chief Strategy Officer
Phone
(630) 296-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1971322 IL Primary

Addresses

Primary practice location

2929 Broadway St Ste 7a
Mount Vernon, IL 62864-2383

Mailing address

801 Warrenville Rd Ste 800
Lisle, IL 60532-0912
Phone (630) 296-3400

Other names 1

  • Addus HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Addus Healthcare Inc81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

128 N 3rd St
Mount Vernon, IL 62864

2929 Broadway St
Ste 7A
Mount Vernon, IL 62864
Phone (618) 242-8226

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1922301514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WARRENVILLE RD STE 800",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320912",
            "telephone_number": "630-296-3400",
            "fax_number": "630-487-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 BROADWAY ST STE 7A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642383",
            "telephone_number": "618-244-4481",
            "fax_number": "855-890-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDUS HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HOMECARE CORPORATION",
        "enumeration_date": "2010-12-21",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DARBY",
        "authorized_official_title_or_position": "EVP, CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "630-296-3443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "1971322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addus HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Addus HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.