ADDUS HEALTHCARE (NORTH CAROLINA), INC (NPI# 1376708859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376708859 |
Entity Type | Organization |
Organization Name | ADDUS HEALTHCARE (NORTH CAROLINA), INC |
Other Organization Name | ADDUS HOMECARE |
Practice Address |
670 Stratford Blvd Suite A Kinston NC 28504-9647 |
Mailing Address |
2300 Warrenville Rd Suite 100 Downers Grove IL 60515-1765 |
Practice Telephone | 2525207543 |
Practice Fax Number | 2525201917 |
Mailing Telephone | 6302963400 |
Mailing Fax Number | 6304872713 |
Enumeration Date | 2008-07-23 |
Last Update Date | 2014-05-23 |
Authorized Official Name | MS. DIANE KUMARICH (NATIONAL CONTRACTS) |
Authorized Official Telephone | 6302963400 |
Authorized Official Credential | RN, MS, MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | HC2137 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DHHS LICENSE | HC2137 | 01 |
Other Name | Type Code |
---|---|
Addus HomeCare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720244551 | Addus Healthcare (north Carolina), Inc | In Home Supportive Care | 1505 S Glenburnie Rd, New Bern, NC 28562-2625 | 2008-07-31 |
1194980243 | Addus Healthcare (north Carolina), Inc | Home Health | 124 S Market St, Washington, NC 27889-4952 | 2008-07-28 |
Street Address |
670 STRATFORD BLVD SUITE A |
City | KINSTON |
State | NC |
Zip Code | 28504-9647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437647385 | Kinston Clinic Pharmacy Inc | Pharmacy | 2717 Nc Hwy 11 South, Kinston, NC 28504 | 2018-04-26 |
1316336241 | Jo Jackson | Developmental Therapist | 137 Norma Drive, Kinston, NC 28504 | 2015-01-15 |
1700105160 | Stephanie Price Jones | Dietitian, Registered | 1457 Elijah Loftin Rd, Kinston, NC 28504 | 2010-05-25 |
1093045783 | Patricia Ann Dodd | Chiropractor | 4010 W. Vernon Ave., Kinston, NC 28504 | 2010-01-03 |
1861626723 | Eastpoint Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Airport Rd, Kinston, NC 28504 | 2009-05-07 |
1174705081 | Vernon Sy Chiu | Internal Medicine | 608-a Airport Road, Kinston, NC 28504 | 2007-12-03 |
1235326943 | Jennifer M Shenk | Optometrist | 703 Rosanne Drive, Kinston, NC 28504 | 2007-09-26 |
1760678478 | Classic Country Care Inc | Assisted Living Facility | 288 Hwy 11 S, Kinston, NC 28504 | 2007-09-18 |
1528271632 | Andrew Jackson Harrell IIi | Dentist | 315 Airport Road, Kinston, NC 28504 | 2007-05-07 |
1316161045 | Joshua House | Pharmacy Technician | 2415 West Vernon Ave., Kinston, NC 28504 | 2007-04-12 |
Find all providers in zip 28504 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013285485 | Cnc / Access, Inc. | Home Health | 1001 Hardee Rd Ste A, Kinston, NC 28504-3323 | 2011-12-13 |
1720392327 | Shipman-kinston | Home Health | 704c Plaza Blvd Dr, Kinston, NC 28501 | 2010-08-06 |
1003142811 | Atlantic Home Health Care and Services Inc | Home Health | 704j Plaza Blvd, Kinston, NC 28501-1567 | 2009-10-29 |
1063619351 | Continuum II Home Health & Hospice, Inc. | Home Health | 317 Rhodes Ave, Kinston, NC 28501-3821 | 2007-06-29 |
1043426117 | Interim Healthcare - Morris Group Inc | Home Health | 704 Plaza Blvd Ste M, Kinston, NC 28501-1567 | 2007-05-15 |
1861544579 | Pine Haven Home Health Care Services Inc | Home Health | 1108 N Herritage St, Kinston, NC 28501-3834 | 2007-01-16 |
1205996139 | Philson,s Personal Care Associates, Inc. | Home Health | 103 S Mclewean St, Kinston, NC 28501-4921 | 2006-12-11 |
1134151525 | Maxim Healthcare Services, Inc. | Home Health | 2111 N Queen St, Kinston, NC 28501-1646 | 2006-07-07 |
1154358596 | Tar Heel Health Care Services, LLC | Home Health | 2111 N Queen St Ste C, Kinston, NC 28501-1647 | 2006-06-28 |
1528513421 | Cnc / Access | Home Health | 1001 Hardee Rd, Suite A, Kinston, NC 28504-3323 | 2016-08-20 |
Find all providers in KINSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.