Organization Active NPI

Amedisys Mississippi, LLC

  • Home Health Agency
  • Biloxi, MS
National Provider Identifier
1093763773
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9595 Issued in MS
Legal business name
AMEDISYS MISSISSIPPI, LLC
Practice address
925 Tommy Munro Dr
Suite K
Biloxi, MS 39532-2134
Phone
(228) 388-4144
Fax
(228) 385-7704
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 9595 MS Primary

Addresses

Primary practice location

925 Tommy Munro Dr
Suite K
Biloxi, MS 39532-2134

Mailing address

925 Tommy Munro Dr Ste K
Biloxi, MS 39532-2134
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
00770086MedicaidMS

Other names 2

  • Adoration Home Health Doing business as
  • Amedisys Home Health of Biloxi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061114000149 MS Part A Provider - Home Health Agency 0648267252 Practice locations: Biloxi, MS

Home health agency certification: CCN 257100

Legal name
AMEDISYS MISSISSIPPI, L.L.C.
Doing business as
ADORATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 1, 1981
Last certification
Dec 13, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 21, 2004 in MS
Enrollment address
925 Tommy Munro Dr
Ste K
Biloxi, MS 39532-2134

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home HealthCCN 257100
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0319690Amedisys Mississippi Dba Amedisys HH of Biloxi925 Tommy Munro Dr Ste K, Biloxi, MS 39532Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Mississippi LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

925 Tommy Munro Dr
Ste K
Biloxi, MS 39532
Phone (228) 388-4144

310 Byram Pl
Ste E
Byram, MS 39272
Phone (601) 371-9051

2900 N Hills St
Meridian, MS 39305
Phone (601) 484-3293

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adoration Home Health Acquisitions, LLC Organization, Louisville, KY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Jennifer Phipps Individual Corporate OfficerTreasurer Dec 1, 2025 100%
Operational/Managerial ControlManager Dec 1, 2025 100%
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Allison Brown Individual Corporate OfficerSecretary Dec 1, 2025 100%
Operational/Managerial ControlManager Dec 1, 2025 100%
Margaret Sherry Pemberton Individual Corporate OfficerVice President Dec 1, 2025 100%
Operational/Managerial ControlManager Dec 1, 2025 100%
Angela Carr Individual W-2 Managing EmployeeAdministrator Nov 14, 2022
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Res-Care Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Elizabeth Robinson Individual Corporate OfficerPresident Dec 1, 2025 100%
Operational/Managerial ControlManager Dec 1, 2025 100%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Brightspring Health Holdings Corp. Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Rescare Holdings Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%

Facilities with the same owner 150

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 150

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1093763773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 TOMMY MUNRO DR STE K",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322134",
            "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": "925 TOMMY MUNRO DR",
            "address_2": "SUITE K",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322134",
            "telephone_number": "228-388-4144",
            "fax_number": "228-385-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "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": "MS",
            "license": "9595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770086",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amedisys Home Health of Biloxi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.