Addus Evergreen Club

LBN: Addus Healthcare, Inc
Addus Evergreen Club is an health care organization with primary practice located at 2929 Broadway St Suite 7A, Mount Vernon IL 62864-2383. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Addus Healthcare, Inc can be contacted via phone (618) 244-4481, or through Kumarich, Diane via phone (630) 296-3400.

Contact Information

Primary practice address
2929 Broadway St Suite 7A Mount Vernon IL 62864-2383
Phone: (618) 244-4481
Fax: (618) 244-9504
Website:
Map and Directions
Authorized official contact:
Name: Kumarich, Diane RN, MS, MBA
Phone: (630) 296-3400

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1588004436
LBN Legal business name Addus Healthcare, Inc
DBA Doing business as Addus Evergreen Club
Authorized official Kumarich, Diane RN, MS, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2013
Last updated Nov 29th, 2016 - about 8 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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