NPI 1497718944 · live from the CMS NPI Registry
Addus Healthcare, INC.
In Home Supportive Care in Vancouver, WA. National Provider Identifier 1497718944, active.
NPI record
| NPI | 1497718944 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 11805 Ne 99th St Ste 1370, Vancouver, WA 98682 |
| Practice phone | 503-639-0600 |
| Mailing address | 2401 S. Plum Grove Road, Palatine, IL 60067 |
| Enumerated | April 7, 2006 |
| Last updated | June 11, 2021 |
| Authorized official | Darby Anderson, Evp Chief Strategy Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| Home Health | 251E00000X | 131373 (OR) |
| Home Health | 251E00000X | 13-1373 (OR) |
| Home Infusion | 251F00000X | — |
| Home Infusion | 251F00000X | 13-1373 (OR) |
| Nursing Care | 251J00000X | — |
| Nursing Care | 251J00000X | 13-1373 (OR) |
| 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.