NPIMap

Organization Active NPI

Addus Healthcare (South Carolina), Inc.

Doing business as Addus HomeCare

  • Case Manager/Care Coordinator
  • North Wilkesboro, NC
National Provider Identifier
1962547406
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ADDUS HEALTHCARE (SOUTH CAROLINA), INC.
Doing business as
Addus HomeCare
Practice address
56 Boone TRL
North Wilkesboro, NC 28659-3515
Phone
(336) 667-2208
NPI assigned
Feb 21, 2007
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ADDUS HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Darby Anderson
Title
Evp Cgro
Phone
(630) 296-3443

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Home Modifications Contractor 171WH0202X NU
Vehicle Modifications Contractor 171WV0202X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

56 Boone TRL
North Wilkesboro, NC 28659-3515

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 South Carolina Inc28 organizations share this tax ID, including this one
Part of
Adus Healthcare Inc

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

56 Boone Trl
North Wilkesboro, NC 28659
Phone (336) 667-2208

2129 Osuna Rd NE
Ste 101B
Albuquerque, NM 87113

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1962547406",
    "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": "56 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593515",
            "telephone_number": "336-667-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDUS HEALTHCARE (SOUTH CAROLINA), INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HEALTHCARE, INC.",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DARBY",
        "authorized_official_title_or_position": "EVP CGRO",
        "authorized_official_telephone_number": "630-296-3443"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addus HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.