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ADDUS HEALTHCARE (IDAHO) INC NPI 1245451251


NPI Information

NPI: 1245451251
Provider Name: ADDUS HEALTHCARE (IDAHO), INC

Doing Business As: ADDUS HOMECARE

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1037A 21ST ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-8881
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ADDUS HEALTHCARE (IDAHO), INC is a day training developmentally disabled services in Lewiston, ID. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. ADDUS HEALTHCARE (IDAHO), INC NPI is 1245451251. The provider is registered as an organization entity type.
The provider Is Doing Business As Addus Homecare.

The provider's business location address is:

1037A 21ST ST
LEWISTON, ID
ZIP 83501-415
Phone: (208) 746-8881
Fax: (855) 808-6973

The provider's authorized official is Diane Kumarich .
The authorized official title is National Contracts and has the following contact phone number (630) 296-3400.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 6/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1807562000OTHERIDAHOLEWISTON - DDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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