NPIMap

Organization Active NPI

Amedisys Georgia LLC

Doing business as Central Home Health Care an Amedisys Company

  • Home Health Agency
  • Kennesaw, GA
National Provider Identifier
1073635660
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-246-H Issued in GA
Legal business name
AMEDISYS GEORGIA LLC
Doing business as
Central Home Health Care an Amedisys Company
Practice address
4255 Wade Green Rd NW
Building 300, Suite 310
Kennesaw, GA 30144-1762
Phone
(770) 424-3595
Fax
(770) 424-1516
NPI assigned
Apr 4, 2007
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul B Kusserow
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-246-H GA Primary

Addresses

Primary practice location

4255 Wade Green Rd NW
Building 300, Suite 310
Kennesaw, GA 30144-1762

Mailing address

3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
00824931DMedicaidGA

Other names 1

  • Central Home Health Care an Amedisys Company Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Georgia LLC61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

4255 Wade Green Rd NW
Ste 310
Kennesaw, GA 30144
Phone (770) 424-3595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1073635660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164013",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW",
            "address_2": "BUILDING 300, SUITE 310",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441762",
            "telephone_number": "770-424-3595",
            "fax_number": "770-424-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-246-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00824931D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Home Health Care an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.