Basic Information
Provider Information | |||||||||
NPI: | 1366967291 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | CURA PARTNERS, LLC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | ADDUS HOMECARE | ||||||||
OtherOrganizationType: | 3 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 2300 WARRENVILLE RD STE 100 | ||||||||
Address2: |   | ||||||||
City: | DOWNERS GROVE | ||||||||
State: | IL | ||||||||
PostalCode: | 605151717 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6302963400 | ||||||||
FaxNumber: | 6304872713 | ||||||||
Practice Location | |||||||||
Address1: | 841 WREN RD STE 5 | ||||||||
Address2: |   | ||||||||
City: | GOODLETTSVILLE | ||||||||
State: | TN | ||||||||
PostalCode: | 370722325 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6154573373 | ||||||||
FaxNumber: | 6157589968 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 08/11/2017 | ||||||||
LastUpdateDate: | 04/13/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | ANDERSON | ||||||||
AuthorizedOfficialFirstName: | DARBY | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | EVP STRATEGY OFFICER | ||||||||
AuthorizedOfficialTelephone: | 6302963591 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | Y | ||||||||
ParentOrganizationLBN: | ADDUS HEALTH CARE INC | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 04/13/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 253Z00000X | L000000020737 | TN | Y |   | Agencies | In Home Supportive Care |   |
No ID Information.