ADDUS HEALTHCARE (IDAHO), INC. (NPI# 1356758171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356758171 |
| Entity Type | Organization |
| Organization Name | ADDUS HEALTHCARE (IDAHO), INC. |
| Other Organization Name | ADDUS HOMECARE |
| Practice Address |
164 River Vista Pl Twin Falls ID 83301-3056 |
| Mailing Address |
2300 Warrenville Rd Suite 100 Downers Grove IL 60515-1702 |
| Practice Telephone | 2087339100 |
| Practice Fax Number | 2087332005 |
| Mailing Telephone | 6302963400 |
| Mailing Fax Number | 6304872713 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2016-12-01 |
| 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 | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806491201 | 05 | |
| ID | 806491602 | 05 | |
| ID | 806510001 | 05 | |
| ID | 806582500 | 05 |
| Other Name | Type Code |
|---|---|
| Addus HomeCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407019482 | Addus Healthcare (idaho), Inc. | Home Health | 415 W 9th St, Libby, MT 59923-1766 | 2008-07-09 |
| 1790718781 | Addus Healthcare (idaho), Inc. | Home Health | 233 E Locust Ave, Coeur D Alene, ID 83814-5748 | 2006-07-10 |
| 1053734608 | Addus Healthcare (idaho), Inc. | In Home Supportive Care | 850 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814-4903 | 2014-01-31 |
| Street Address |
164 RIVER VISTA PL |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1073134326 | Personal Home Care Specialists LLC | In Home Supportive Care | 1411 Falls Ave E Ste 415, Twin Falls, ID 83301-3455 | 2020-04-28 |
| 1619340726 | A Caring Hand Twin Falls LLC | In Home Supportive Care | 1031 Eastland Dr, Twin Falls, ID 83301-6750 | 2015-11-11 |
| 1023425782 | Accomplishments In Home Services | In Home Supportive Care | 844 Washington St N Ste 200, Twin Falls, ID 83301-3874 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312763 | Elite Care LLC | In Home Supportive Care | 1560 N Crestmont Dr Ste D, Meridian, ID 83642-2178 | 2020-09-25 |
| 1447860291 | All Heart Home Care | In Home Supportive Care | 211 S Woodruff Ave Ste B1, Idaho Falls, ID 83401-4866 | 2020-08-06 |
| 1578182424 | Terrace Home Health Boise LLC | In Home Supportive Care | 2929 W Navigator Dr Ste 201, Meridian, ID 83642-7553 | 2020-04-10 |
| 1114546223 | Treasure Valley Home Care Services L.L.C. | In Home Supportive Care | 13334 W Persimmon St, Boise, ID 83713-0860 | 2020-04-09 |
| 1326678525 | Sara Elizabeth Manzer | In Home Supportive Care | 2430 Center Ave, Payette, ID 83661-2740 | 2020-01-16 |
| 1164077376 | Arms Wide Open LLC | In Home Supportive Care | 134 3rd St S, Nampa, ID 83651-3715 | 2019-08-05 |
| 1013569003 | Legacy Rhs, LLC | In Home Supportive Care | 16663 Woodduck St, Nampa, ID 83687-8296 | 2019-07-10 |
| 1609430446 | Peak Moments Inc. | In Home Supportive Care | 800 W Main St Ste 1460, Boise, ID 83702-5983 | 2019-04-26 |
| 1871055152 | 3 and 1, LLC | In Home Supportive Care | 2524 W Sorbonne Dr, Coeur D Alene, ID 83815-5302 | 2019-04-04 |
| 1770043689 | Kind Heart Inc | In Home Supportive Care | 2896 Lianne St, Idaho Falls, ID 83402-5638 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on ADDUS HEALTHCARE (IDAHO), INC..
| 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.