A Full Life Health Care Inc.

LBN: Addus Healthcare (Idaho), Inc.
A Full Life Health Care Inc. is an health care organization with primary practice located at 233 E Locust Ave , Coeur D Alene ID 83814-5748. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Addus Healthcare (Idaho), Inc. can be contacted via phone (208) 765-8016, or through Kumarich, Diane via phone (847) 303-5300.

Contact Information

Primary practice address
233 E Locust Ave Coeur D Alene ID 83814-5748
Phone: (208) 765-8016
Fax: (208) 765-0690
Website:
Map and Directions
Authorized official contact:
Name: Kumarich, Diane RN, MS, MBA
Phone: (847) 303-5300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HH229 Idaho
Agencies / Home Health 251E00000X HH-229 Idaho

Profile Details

NPI number 1790718781
LBN Legal business name Addus Healthcare (Idaho), Inc.
DBA Doing business as A Full Life Health Care Inc.
Authorized official Kumarich, Diane RN, MS, MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 10th, 2006
Last updated May 26th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790718781 NPPES
Idaho MEDICAID 807484500

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