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ADDUS HEALTHCARE INC NPI 1366405227


NPI Information

NPI: 1366405227
Provider Name: ADDUS HEALTHCARE INC

Doing Business As: DESERT PCA

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
6128 W SAHARA AVE
ROOM A
LAS VEGAS, NV
ZIP 89146
Phone: (702) 359-3105
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ADDUS HEALTHCARE INC is an in home supportive care in Las Vegas, NV. The provider is 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. ADDUS HEALTHCARE INC NPI is 1366405227. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Pca.

The provider's business location address is:

6128 W SAHARA AVE
ROOM A
LAS VEGAS, NV
ZIP 89146-051
Phone: (702) 359-3105
Fax: (702) 598-2041

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 4/10/2006 and was last updated on 11/29/2016.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeNo
2253Z00000XIn Home Supportive Care5427PCS8NEVADAYes

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
1100505778MEDICAIDNEVADA

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: 11/14/2023

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