Organization Active NPI

Nine Palms 2 LLC

  • Home Health Agency
  • Gulfport, MS
National Provider Identifier
1104871094
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
12384 Issued in MS
Legal business name
NINE PALMS 2 LLC
Practice address
11010 Highway 49
Ste 4
Gulfport, MS 39503-4190
Phone
(228) 831-9821
Fax
(228) 831-9826
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 12384 MS Primary

Addresses

Primary practice location

11010 Highway 49
Ste 4
Gulfport, MS 39503-4190

Mailing address

11010 Highway 49 Ste 4
Gulfport, MS 39503-4191
Phone (225) 292-2031

Other identifiers 6

IdentifierTypeStateIssuer
000070508OtherMSBC BS OF MS FED
000070507OtherMSBC BS OF MS
00770616MedicaidMS
000070508OtherMSBC BS OF MS
000070507OtherMSADVANCED HEALTH SYSTEMS
000070508OtherMSADVANCED HEALTH SYSTEMS

Other names 2

  • Adoration Home Health Doing business as
  • Tender Loving Care, an Amedisys Company Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060505000408 MS Part A Provider - Home Health Agency 6002827045 Practice locations: Gulfport, MS

Home health agency certification: CCN 257143

Legal name
NINE PALMS 2 LLC
Doing business as
ADORATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 8, 2002
Last certification
Oct 25, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
11010 Highway 49
Ste 4
Gulfport, MS 39503-4191

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home HealthCCN 257143
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 8, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

520 E Pass Rd
Ste B
Gulfport, MS 39507
Phone (228) 897-7970

11010 Highway 49
Ste 4
Gulfport, MS 39503
Phone (228) 831-9821

4211 Hospital St
Ste 303
Pascagoula, MS 39581
Phone (228) 696-0020

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 LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2025 100%
Jennifer Phipps Individual Corporate OfficerTreasurer Dec 1, 2025
Corporate DirectorManager Dec 1, 2025
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
Corporate DirectorManager Dec 1, 2025
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%
Margaret Sherry Pemberton Individual Corporate OfficerVice President Dec 1, 2025
Corporate DirectorManager Dec 1, 2025
Angela Carr Individual W-2 Managing EmployeeAd; Dec 1, 2024
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
Corporate DirectorManager Dec 1, 2025
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%

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1104871094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 HIGHWAY 49 STE 4",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034191",
            "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": "11010 HIGHWAY 49",
            "address_2": "STE 4",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034190",
            "telephone_number": "228-831-9821",
            "fax_number": "228-831-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE PALMS 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "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": "12384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MS FED",
            "identifier": "000070508",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MS",
            "identifier": "000070507",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770616",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MS",
            "identifier": "000070508",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED HEALTH SYSTEMS",
            "identifier": "000070507",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED HEALTH SYSTEMS",
            "identifier": "000070508",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tender Loving Care, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.