ADDUS HEALTHCARE (SOUTH CAROLINA), INC. (NPI# 1336494798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336494798 |
| Entity Type | Organization |
| Organization Name | ADDUS HEALTHCARE (SOUTH CAROLINA), INC. |
| Other Organization Name | ADDUS HOMECARE |
| Practice Address |
3300 Highlands Pkwy Se Suite 140 Smyrna GA 30082-5131 |
| Mailing Address |
2300 Warrenville Rd Suite 100 Downers Grove IL 60515-1765 |
| Practice Telephone | 6782877398 |
| Practice Fax Number | 8558075843 |
| Mailing Telephone | 6302963400 |
| Mailing Fax Number | 6304872713 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | MS. DIANE KUMARICH (NATIONAL CONTRACTS) |
| Authorized Official Telephone | 6302963400 |
| Authorized Official Credential | RN, MS, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 044-R-1056 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000972419 | 05 | |
| GA | LICENSE NUMBER | 044-R-1056 | 01 |
| Other Name | Type Code |
|---|---|
| Addus HomeCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023576824 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 3721 N Ridge Rd, Perry, OH 44081-9579 | 2019-03-11 |
| 1487112256 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 1395 E Dublin Granville Rd Ste 420, Columbus, OH 43229-3314 | 2019-03-11 |
| 1598234494 | Addus Healthcare (south Carolina), Inc. | Home Health | 2855 W Market St Ste 119, Fairlawn, OH 44333-4033 | 2018-11-20 |
| 1215327069 | Addus Healthcare (south Carolina), Inc. | Home Health | 7332 Yankee Rd, Liberty Township, OH 45044-9168 | 2015-02-02 |
| 1972931277 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 1406 Cadiz Rd, Wintersville, OH 43953-9058 | 2013-10-23 |
| 1144658444 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 1101 Washington Blvd, Unit C, Belpre, OH 45714-2246 | 2013-10-23 |
| 1083042386 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 1645 Downtown West Blvd, Suite 1, Knoxville, TN 37919-2712 | 2013-10-23 |
| 1932413127 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 149 Davis Rd, Suite D, Augusta, GA 30907-5072 | 2010-07-30 |
| 1205140399 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 415 N Pleasantburg Dr, Suite B, Greenville, SC 29607-2127 | 2010-07-30 |
| 1396059481 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 3294 Ashley Phosphate Rd, C, N Charleston, SC 29418 | 2010-07-30 |
| Street Address |
3300 HIGHLANDS PKWY SE SUITE 140 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578007845 | Akhabue Onobun | Psychologist | 3300 Highlands Pkwy Se, Ste 110, Smyrna, GA 30082-5131 | 2016-12-06 |
| 1114371390 | Macconsulting, Inc | Social Worker | 3300 Highlands Pkwy Se, Suite 110, Smyrna, GA 30082-5131 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299418 | Harmony Life Home Care LLC | In Home Supportive Care | 1701 Cobb Xing Se, Smyrna, GA 30080-7140 | 2019-11-13 |
| 1861034555 | Assisted Family Care | In Home Supportive Care | 701 President Pl Ste 165, Smyrna, TN 37167-6489 | 2019-10-14 |
| 1336602523 | First Class Home Care LLC | In Home Supportive Care | 113 Needham Dr, Smyrna, DE 19977-4468 | 2019-04-13 |
| 1104309343 | Andrea Nicole Mingo | In Home Supportive Care | 1220 Walton Ln Se, Smyrna, GA 30082-3873 | 2018-09-13 |
| 1881107118 | Wisba Home Care and Professional Career Center LLC | In Home Supportive Care | 2220 Atlanta Rd Se Ste 103, Smyrna, GA 30080-1541 | 2017-11-08 |
| 1518411792 | Campbell Family Care, LLC | In Home Supportive Care | 400 Chaney Rd Apt 1020, Smyrna, TN 37167-2661 | 2016-08-05 |
| 1992169817 | One Nurse LLC | In Home Supportive Care | 2075 Anderson Dr Se, Smyrna, GA 30080-5809 | 2016-04-06 |
| 1467749267 | Lorddys Healthcare Solutions | In Home Supportive Care | 3800 Highlands Pkwy Se, Smyrna, GA 30082-5185 | 2011-06-30 |
| 1306144498 | Good Samaritan Home Care, LLC | In Home Supportive Care | 304 S Lowry St, Suite C, Smyrna, TN 37167-3415 | 2011-03-14 |
| 1659671717 | Rivers Premiere Care, Inc | In Home Supportive Care | 2300 Lake Park Dr Se Ste 280, Smyrna, GA 30080-7652 | 2010-10-23 |
| Find all providers in SMYRNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.