ADDUS HEALTHCARE (NORTH CAROLINA), INC


Address: 670 Stratford Blvd, Suite A, Kinston, NC 28504-9647
Phone: 2525207543

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health HC2137 NC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC DHHS LICENSE HC2137 01

Other Provider/Organization Names

Other Name Type Code
Addus HomeCare Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 670 STRATFORD BLVD
SUITE A
City KINSTON
State NC
Zip Code 28504-9647

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City KINSTON
Zip Code 28504

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Dataset Information

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.

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