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Contact Information

ADDUS HEALTHCARE
LBN PROFESSIONAL RELIABLE NURSING SERVICE INC
817 COFFEE RD
SUITE B 1 AND 2
MODESTO, CA95355
 Phone: 209-578-3231
 Fax: 209-578-5661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Day Training, Developmentally Disabled Services

251C00000X
 

Home Infusion

251F00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for ADDUS HEALTHCARE

NPI Number 1497718951
LBN Legal business name PROFESSIONAL RELIABLE NURSING SERVICE INC
DBA Doing business as ADDUS HEALTHCARE
Authorized official DIANE KUMARICH - (NATIONAL CONTRACTS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2006
Last updated 06/18/2009 - About 10 years ago
Identifiers
CA License # 100000005
CA Medicaid HHA57272F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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