Addus Healthcare (Idaho), INC.
In Home Supportive Care in Libby, MT. Organization (NPI-2).
NPI number1407019482
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1407019482
- Entity type
- Organization (NPI-2)
- Legal business name
- Addus Healthcare (Idaho), INC.
- Organization subpart
- Yes
- Enumeration date
- Jul 9, 2008
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 171W00000X | Contractor | – | – | |
| 251E00000X | Home Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Addus Homecare (Doing Business As)
Practice location
415 W 9th StLibby, MT 59923-1766
Phone 406-293-9651 · Fax 406-293-9706
Mailing address
801 Warrenville Rd Ste 800Lisle, IL 60532-0912
Phone 630-296-3400 · Fax 630-487-2713
Authorized official
Darby Anderson
Evp, Chief Strategy Officer
6302963443
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