NPI 1790718781 · live from the CMS NPI Registry
Addus Healthcare (Idaho), INC.
Home Health in Coeur D Alene, ID. National Provider Identifier 1790718781, active.
NPI record
| NPI | 1790718781 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 233 E Locust Ave, Coeur D Alene, ID 83814 |
| Practice phone | 208-765-8016 |
| Mailing address | 2401 S Plum Grove Rd, Palatine, IL 60067 |
| Enumerated | July 10, 2006 |
| Last updated | May 26, 2010 |
| Authorized official | Diane Kumarich, National Contracts |
| Other names | A Full Life Health Care INC. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | HH229 (ID) |
| Home Health primary | 251E00000X | HH-229 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.