Organization · Type 2 NPI

Addus Healthcare (idaho), Inc.

Home Health Agency · Coeur D Alene, ID

NPI number 1790718781 Active

Practice location

233 E Locust Ave
Coeur D Alene, ID 83814-5748

Call (208) 765-8016 Map

Fax (208) 765-0690

Mailing address

2401 S Plum Grove Rd
Palatine, IL 60067-7486

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	HH229 (ID)
Home Health Agency Primary	251E00000X	HH-229 (ID)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1790718781
Entity type: Organization (Type 2)
Issued: Jul 10, 2006
Last updated: May 26, 2010
Status: Active
Subpart: Yes of Addus Healthcare, Inc.

Other names

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A Full Life Health Care Inc. · doing business as

Authorized official

Ms. Diane Kumarich, RN, MS, MBA
National Contracts
(847) 303-5300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790718781

Addus Healthcare (idaho), Inc.'s National Provider Identifier is 1790718781, issued on Jul 10, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 26, 2010.