ADDUS HEALTHCARE, INC. (NPI# 1699103960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699103960 |
| Entity Type | Organization |
| Organization Name | ADDUS HEALTHCARE, INC. |
| Other Organization Name | ADDUS HOMECARE |
| Practice Address |
1730 S Amphlett Blvd #144 San Mateo CA 94402-2707 |
| Mailing Address |
2401 Plum Grove Rd Palatine IL 60067-7486 |
| Practice Telephone | 6506387949 |
| Mailing Telephone | 8473035300 |
| Mailing Fax Number | 8473035435 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | MS. DIANE KUMARICH (NATIONAL CONTRACTS) |
| Authorized Official Telephone | 8473035300 |
| 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 |
| Other Name | Type Code |
|---|---|
| Addus HomeCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804885 | Addus Healthcare, Inc. | Home Health | 500 Southland Dr Ste 210, Hoover, AL 35226-3712 | 2019-07-24 |
| 1972069011 | Addus Healthcare, Inc. | In Home Supportive Care | 311 Gate City Hwy Ste E, Bristol, VA 24201-3202 | 2019-02-13 |
| 1255855987 | Addus Healthcare, Inc. | In Home Supportive Care | 5333 N 7th St Ste A200, Phoenix, AZ 85014-2804 | 2017-08-03 |
| 1275087199 | Addus Healthcare, Inc. | In Home Supportive Care | 842 Se 1st Ave, Ontario, OR 97914-2904 | 2016-08-09 |
| 1518329846 | Addus Healthcare, Inc. | In Home Supportive Care | 4500 E Grant Rd Ste C, Tucson, AZ 85712-2695 | 2016-03-25 |
| 1801256037 | Addus Healthcare, Inc. | In Home Supportive Care | 4011 Avenue of The Cities Ste 102, Moline, IL 61265-4454 | 2016-03-01 |
| 1518380161 | Addus Healthcare, Inc. | In Home Supportive Care | 11805 Ne 99th St, Suite 1370, Vancouver, WA 98682-2395 | 2014-01-31 |
| 1629491279 | Addus Healthcare, Inc. | In Home Supportive Care | 1121 N Argonne Rd, Suite B210, Spokane Valley, WA 99212-2686 | 2014-01-31 |
| 1699198242 | Addus Healthcare, Inc. | In Home Supportive Care | 545 N Benjamin Ln, Suite 125, Boise, ID 83704-9623 | 2014-01-31 |
| 1558784231 | Addus Healthcare, Inc. | In Home Supportive Care | 1116b W Lincoln Ave, Yakima, WA 98902-2534 | 2014-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ADDUS HEALTHCARE, INC | 2300 Warrenville Road, Suite 100, Downers Grove, IL 60515 |
| Oregon Corporations, Companies and Business Names | ADDUS HEALTHCARE, INC. | 2300 Warrenville Rd Ste 100, Downers Grove, IL 60515 |
| Colorado Business Entities | Addus HealthCare, Inc. | 2300 Warrenville Rd Ste 100, Downers Grove, IL 60515-1717 |
| Street Address |
1730 S AMPHLETT BLVD #144 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265778583 | Angela J Encarnacion | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2012-12-13 |
| 1891035408 | We Assist LLC | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2013-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| 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 |
|---|---|---|---|---|
| 1942843115 | Magnusson Enterprises LLC | In Home Supportive Care | 36 42nd Ave, San Mateo, CA 94403-5109 | 2019-10-21 |
| 1417441791 | Spectrum Seniors LLC | In Home Supportive Care | 725 Patricia Ave, San Mateo, CA 94401-3146 | 2018-06-19 |
| 1437496692 | Home Instead Senior Care | In Home Supportive Care | 2207 S El Camino Real, San Mateo, CA 94403-1808 | 2013-01-08 |
| 1265778583 | Angela J Encarnacion | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2012-12-13 |
| 1386997070 | Evergreen Bay Family Care, Inc. | In Home Supportive Care | 1900 S Norfolk St Ste 350, San Mateo, CA 94403-1171 | 2012-10-18 |
| 1053682740 | Magis Care LLC | In Home Supportive Care | 1670 S Amphlett Blvd Ste 225, San Mateo, CA 94402-2511 | 2012-01-26 |
| 1457634065 | Gosula Homecare, Inc. | In Home Supportive Care | 1670 S Amphlett Blvd Ste 214, San Mateo, CA 94402-2511 | 2011-09-21 |
| 1235544552 | Managed Care Inc. | In Home Supportive Care | 2207 S El Camino Real, San Mateo, CA 94403-1808 | 2014-06-25 |
| 1891035408 | We Assist LLC | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2013-02-19 |
| 1851639934 | Jsw Home Health Care Associates, Inc | In Home Supportive Care | 177 Bovet Rd, Suite 600, San Mateo, CA 94402-3116 | 2013-01-23 |
| Find all providers in SAN MATEO | ||||
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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.