NPI 1407019482 · live from the CMS NPI Registry
Addus Healthcare (Idaho), INC.
In Home Supportive Care in Libby, MT. National Provider Identifier 1407019482, active.
NPI record
| NPI | 1407019482 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 415 W 9th St, Libby, MT 59923 |
| Practice phone | 406-293-9651 |
| Mailing address | 801 Warrenville Rd Ste 800, Lisle, IL 60532 |
| Enumerated | July 9, 2008 |
| Last updated | April 30, 2025 |
| Authorized official | Darby Anderson, Evp, Chief Strategy Officer |
| Other names | Addus Homecare |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | — |
| Home Health | 251E00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.