NPIMap

Organization Active NPI

Addus Healthcare Inc

Doing business as Addus HomeCare

  • In Home Supportive Care Agency
  • Mobile, AL
National Provider Identifier
1952367526
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADDUS HEALTHCARE INC
Doing business as
Addus HomeCare
Practice address
808 Downtowner Blvd
Suite B
Mobile, AL 36609-5441
Phone
(251) 414-5855
Fax
(251) 414-3633
NPI assigned
Apr 24, 2006
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ADDUS HOMECARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

808 Downtowner Blvd
Suite B
Mobile, AL 36609-5441

Mailing address

2300 Warrenville Rd Ste 100
Downers Grove, IL 60515-1717
Phone (630) 296-3400

Other identifiers 1

IdentifierTypeStateIssuer
PVT0080ZMedicaidAL

Other names 1

  • Addus HomeCare Doing business as

National Provider Directory

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

Organizations with this tax ID in the same state 5

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

Locations

808 Downtowner Blvd
Ste B
Mobile, AL 36609
Phone (251) 414-5855

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1952367526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WARRENVILLE RD STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151717",
            "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": "808 DOWNTOWNER BLVD",
            "address_2": "SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095441",
            "telephone_number": "251-414-5855",
            "fax_number": "251-414-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDUS HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HOMECARE CORPORATION",
        "enumeration_date": "2006-04-24",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "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": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PVT0080Z",
            "state": "AL"
        }
    ],
    "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 Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.