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ADDUS HEALTHCARE (IDAHO) INC NPI 1770704777


NPI Information

NPI: 1770704777
Provider Name: ADDUS HEALTHCARE (IDAHO), INC

Doing Business As: ADDUS HOMECARE

Classification: Nursing Care - 251J00000X
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 nursing care in Lewiston, ID. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. ADDUS HEALTHCARE (IDAHO), INC NPI is 1770704777. 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

The provider's authorized official is Darby Anderson .
The authorized official title is Evp Strategy Officer and has the following contact phone number (630) 296-3591.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 1/29/2021.


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
1251J00000XNursing CareYes

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
1805787300OTHERIDAHOHAYDEN - PDN

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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