ADDUS HEALTHCARE (SOUTH CAROLINA), INC. (NPI# 1841628146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841628146 |
| Entity Type | Organization |
| Organization Name | ADDUS HEALTHCARE (SOUTH CAROLINA), INC. |
| Other Organization Name | ADDUS HOMECARE |
| Practice Address |
2811 W Market St Suite 2 Johnson City TN 37604-5127 |
| Mailing Address |
2300 Warrenville Rd Suite 100 Downers Grove IL 60515-1765 |
| Practice Telephone | 4239265600 |
| Practice Fax Number | 4234340378 |
| Mailing Telephone | 6302963400 |
| Mailing Fax Number | 6304872713 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2014-05-27 |
| 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 |
| 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 |
| 1336494798 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 3300 Highlands Pkwy Se, Suite 140, Smyrna, GA 30082-5131 | 2012-07-20 |
| 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 |
| Street Address |
2811 W MARKET ST SUITE 2 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083918 | Doctor's Care Inc | Clinic/Center | 2811 W Market St, Ste 1, Johnson City, TN 37604-5127 | 2005-06-15 |
| 1548737935 | Stephanie M Childress | Nurse Practitioner | 2811 W Market St, Johnson City, TN 37604-5127 | 2018-10-24 |
| 1285688960 | Medical Services of America, Inc. | Home Health | 2811 W Market St, Suite 3, Johnson City, TN 37604-5127 | 2006-05-19 |
| 1104894641 | Page S Mcclanahan | Nurse Practitioner | 2811 W Market St, Suite 1, Johnson City, TN 37604-5127 | 2006-03-10 |
| 1093715492 | Medical Services of America Inc | Emergency Response System Companies | 2811 W Market St, Suite 3, Johnson City, TN 37604-5127 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1124631833 | Jeb Foundation: Advocates for The Elderly | In Home Supportive Care | 1306 E Watauga Ave, Johnson City, TN 37601-3549 | 2020-08-24 |
| 1114411329 | Blue Ridge Care Solutions, LLC. | In Home Supportive Care | 600 N State of Franklin Rd Ste 10, Johnson City, TN 37604-8212 | 2018-06-20 |
| 1376903260 | Alliance Care Service LLC | In Home Supportive Care | 2 Red Bush Ct, Suite 3, Johnson City, TN 37601-4340 | 2016-03-04 |
| 1902342009 | Aging Assistance & Support LLC | In Home Supportive Care | 1114 Sunset Dr, Suite 3, Johnson City, TN 37604-2969 | 2017-01-12 |
| 1639623754 | Providence Companion Care of Tn 1, LLC | In Home Supportive Care | 600 N State of Franklin Rd, Suite 10, Johnson City, TN 37604-8226 | 2016-08-05 |
| 1639551732 | Fernwood Services, LLC | In Home Supportive Care | 207 N Boone St, Suite 2, Johnson City, TN 37604-5675 | 2015-06-24 |
| 1669716577 | Help At Home, Tennessee | In Home Supportive Care | 2 Worth Cir, Ste 1, Johnson City, TN 37601-4304 | 2012-11-15 |
| 1134437387 | Legacy Home Care, LLC | In Home Supportive Care | 207 E Main St, Suite 2-j, Johnson City, TN 37604-5747 | 2010-09-22 |
| 1659609782 | Tennessee Community Services Agency | In Home Supportive Care | 2514 1/2 Wesley St, Ste 4, Johnson City, TN 37601-1752 | 2009-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032924 | Staccato LLC | In Home Supportive Care | 122 Lee Parkway Dr Ste 402, Chattanooga, TN 37421-0813 | 2020-10-30 |
| 1376142083 | Unique Styles Home Healthcare Services,llc | In Home Supportive Care | 1304 Wilson Rd Ste 101, Knoxville, TN 37912-5693 | 2020-10-23 |
| 1841899531 | Basho75 LLC | In Home Supportive Care | 231 Public Sq Ste 300, Franklin, TN 37064-2552 | 2020-10-22 |
| 1558969279 | Midsouth Senior Living Inc. | In Home Supportive Care | 3594 Crestwyn Dr, Germantown, TN 38138-8525 | 2020-10-14 |
| 1922606706 | Trinette Jackson | In Home Supportive Care | 905 Woodlawn St, Memphis, TN 38107-2531 | 2020-10-13 |
| 1386241800 | Melinda Ruth Hite | In Home Supportive Care | 2006 E Center St, Kingsport, TN 37664-2615 | 2020-10-07 |
| 1093312795 | B2z Care Services LLC | In Home Supportive Care | 158 Shiaway Ct, Nashville, TN 37217-2528 | 2020-10-06 |
| 1578177184 | Home Health Professional Network Inc. | In Home Supportive Care | 462 Avery Way Apt 6101, Knoxville, TN 37922-4430 | 2020-09-01 |
| 1013520048 | Nashville Tn Caregiving LLC | In Home Supportive Care | 4004 Hillsboro Pike Ste B238, Nashville, TN 37215-2732 | 2020-08-28 |
| 1043822554 | An Act of Love Home Care LLC | In Home Supportive Care | 934 Hammack Dr, Nashville, TN 37214-4347 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.