NPIMap

Organization Active NPI

Albert Gallatin Home Care and Hospice Services, L.L.C.

  • Community Based Hospice Care Agency
  • Monongahela, PA
National Provider Identifier
1194046557
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
154499 Issued in PA
Legal business name
ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.
Practice address
100 Stoops Dr
Suite 300
Monongahela, PA 15063-3553
Phone
(724) 483-4109
Fax
(724) 483-4015
NPI assigned
Jun 18, 2010
Organization subpart
Yes
Parent organization
ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 154499 PA Primary

Addresses

Primary practice location

100 Stoops Dr
Suite 300
Monongahela, PA 15063-3553

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
101485642 0009MedicaidPA

Other names 1

  • Amedisys Hospice of PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Albert Gallatin Home Care and Hospice Services LLC13 organizations share this tax ID, including this one
Part of
Albert Gallatin Home Care and Hospice Services LLC

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1194046557",
    "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": "100 STOOPS DR",
            "address_2": "SUITE 300",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-483-4109",
            "fax_number": "724-483-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.",
        "enumeration_date": "2010-06-18",
        "last_updated": "2016-09-20",
        "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"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "154499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101485642 0009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Hospice of PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.