ADDUS HEALTHCARE, INC. (NPI# 1972069011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972069011 |
| Entity Type | Organization |
| Organization Name | ADDUS HEALTHCARE, INC. |
| Practice Address |
311 Gate City Hwy Ste E Bristol VA 24201-3202 |
| Mailing Address |
2300 Warrenville Rd Ste 100 Downers Grove IL 60515-1717 |
| Practice Telephone | 2766963610 |
| Mailing Telephone | 6302963400 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | DIANE KUMARICH (SR. V.P. NATIONAL CONTRACTS) |
| Authorized Official Telephone | 6302963400 |
| Authorized Official Credential | RN, MBA, MS |
| 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 |
| 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 |
| 1740601236 | Addus Healthcare, Inc. | In Home Supportive Care | 88 Northport Dr, Alton, IL 62002-5940 | 2013-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
311 GATE CITY HWY STE E |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1417577214 | Josinia Senior Home Care | In Home Supportive Care | 4604 Murray St, Bristol, PA 19007-2004 | 2020-04-21 |
| 1639610157 | Morning Star Home Care LLC | In Home Supportive Care | 1019 Farmington Ave Ste 2, Bristol, CT 06010-3955 | 2017-03-16 |
| 1265971188 | We Care 4 U Home Care | In Home Supportive Care | 31 Bay Woods Rd., Bristol, ME 04539 | 2017-02-13 |
| 1942543285 | Simple Home Care Solutions, LLC | In Home Supportive Care | 71 Alba Dr, Bristol, CT 06010-2602 | 2013-04-05 |
| 1083963540 | David Dawiczyk | In Home Supportive Care | 22 Pine St Ste 213, Bristol, CT 06010-6950 | 2012-08-30 |
| 1396002358 | Liberty County Senior Citizens Assoc. Inc. | In Home Supportive Care | 15629 Nw County Road 12, Post Office Box 730, Bristol, FL 32321-3685 | 2012-04-16 |
| 1265751556 | Cura Partners, LLC | In Home Supportive Care | 1241 Volunteer Pkwy Ste 420, Bristol, TN 37620-4635 | 2010-05-26 |
| 1376787051 | Grace In-home Care LLC | In Home Supportive Care | 22 Lee St, Suite 100, Bristol, VA 24201-4306 | 2009-04-27 |
| 1215395967 | Our Lady of Fatima Home Care Services LLC | In Home Supportive Care | 1200 Veterans Hwy, Suite C6b, Bristol, PA 19007-2525 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346227 | Coach for Seniors Inc. | In Home Supportive Care | 7020 Petunia St, Springfield, VA 22152-3448 | 2020-11-06 |
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1629675954 | Uprising Healthcare Services LLC | In Home Supportive Care | 93 Algrace Blvd, Stafford, VA 22556-8608 | 2020-10-09 |
| 1356958136 | Laugh & Live, LLC | In Home Supportive Care | 1702 Todds Lane, Suite 215, Hampton, VA 23666-3213 | 2020-09-25 |
| 1437765716 | Healing Hands Home Health, LLC | In Home Supportive Care | 16520 Goodes Bridge Rd, Amelia Court House, VA 23002-4822 | 2020-09-22 |
| 1861005639 | Icare Home Health Va LLC | In Home Supportive Care | 208 N 2nd Ave Ste 5, Hopewell, VA 23860-2703 | 2020-08-31 |
| 1518570860 | Prime Care Consultants LLC | In Home Supportive Care | 3707 Virginia Beach Blvd Ste 202, Virginia Beach, VA 23452-3412 | 2020-08-26 |
| 1861004491 | Independent Living Home Care L. L.c. | In Home Supportive Care | 6115 Mantle Rd, Burke, VA 22015-3807 | 2020-08-17 |
| 1407466931 | Francine Rose Williams | In Home Supportive Care | 17140 Shands Rd, South Prince George, VA 23805-8537 | 2020-08-10 |
| 1255940896 | Elderlescent Care Incorporated | In Home Supportive Care | 3520 Skipping Rock Way, Richmond, VA 23234-2971 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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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.