Amedisys Florida, LLC
Organization Active NPI Home Health Agency · Crestview, FL
NPI 1235306325 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1235306325
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 299992759 (FL)
- Legal business name
- AMEDISYS FLORIDA, LLC
- Practice address
- 751 N Ferdon Blvd
Crestview, FL 32536-2113 - Phone
- (850) 682-1803
- Fax
- (850) 628-1831
- NPI assigned
- May 8, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- AMEDISYS FLORIDA, LLC
Authorized official
- Name
- Paul B Kusserow
- Title
- President
- Phone
- (225) 292-2031
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Amedisys Home Health Inc
- Part of
- Amedisys Home Health Inc
Locations
751 N Ferdon Blvd
Crestview, FL 32536
Phone (850) 682-1803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299992759 | FL | Yes |
Addresses
Primary practice location
751 N Ferdon Blvd
Crestview, FL 32536-2113
Mailing address
3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651700508 | Medicaid | FL |
Other names
- Amedisys Home Health
Other providers in Crestview, FL
- Heather Allen
- Kelly Allen
- Alternative Living Inc.
- Alternative Living, Inc.
- Always Hope Developmental Services
- Naana W Anakwah
- Amy Southerland Anderson
- Cristina Faith Anderson
- Kallie Anderson
- Micah Anderson
All providers in Crestview, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.