Professional Reliable Nursing Service INC
In Home Supportive Care in Modesto, CA. Organization (NPI-2).
NPI number1497718951
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1497718951
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Reliable Nursing Service INC
- Organization subpart
- Yes
- Enumeration date
- Apr 7, 2006
- Certification date
- Oct 7, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251E00000X | Home Health | 100000005 | CA | |
| 251F00000X | Home Infusion | – | – | |
| 251J00000X | Nursing Care | – | – |
Other names
- Addus Homecare (Doing Business As)
- Addus Healthcare (Doing Business As)
Practice location
3501 Coffee Rd Ste 3Modesto, CA 95355-1343
Phone 209-526-8451 · Fax 209-574-6116
Mailing address
2300 Warrenville Rd Ste 100Downers Grove, IL 60515-1717
Phone 630-296-3591 · Fax 630-487-2713
Authorized official
Darby Anderson
Evp Chief Strategy Officer
6302963591
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