NPIMap

Organization Active NPI

Amedisys Mississippi, LLC

Doing business as Adoration Home Health

  • Home Health Agency
  • Vicksburg, MS
National Provider Identifier
1245288943
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7394 Issued in MS
Legal business name
AMEDISYS MISSISSIPPI, LLC
Doing business as
Adoration Home Health
Amedisys Home Health of Vicksburg
Practice address
2080 S Frontage Rd
Suite 105
Vicksburg, MS 39180-5328
Phone
(601) 619-3670
Fax
(601) 619-3672
NPI assigned
May 4, 2006
Last updated
Aug 31, 2026By the provider in NPPES
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 7394 MS Primary

Addresses

Primary practice location

2080 S Frontage Rd
Suite 105
Vicksburg, MS 39180-5328

Mailing address

2080 S Frontage Rd Ste 105
Vicksburg, MS 39180-5882
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
00770548MedicaidMS

Other names 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000869 MS Part A Provider - Home Health Agency 0648267252 Practice locations: Byram, MS; Flowood, MS; Vicksburg, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245288943. Details of each certification follow.

Home health agency certification: CCN 257103

Legal name
AMEDISYS MISSISSIPPI, L.L.C.
Doing business as
ADORATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 11, 1977
Last certification
Oct 24, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 21, 2004 in MS
Enrollment address
2080 S Frontage Rd
Ste 105
Vicksburg, MS 39180-5882

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 257103 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 11, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
25D0708937Amedisys Mississippi LLC Dba2080 South Frontage Rd Ste 105, Vicksburg, MS 39180Certificate 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

2080 S Frontage Rd
Ste 105
Vicksburg, MS 39180
Phone (601) 619-3670

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 Direct Ownership Interest Dec 1, 2025 100%
Jennifer Phipps Individual Corporate OfficerTreasurer Dec 1, 2025
Operational/Managerial ControlManager 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
Operational/Managerial ControlManager Dec 1, 2025
Margaret Sherry Pemberton Individual Corporate OfficerVice President Dec 1, 2025
Operational/Managerial ControlManager Dec 1, 2025
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%
Vickie Lewis Individual Operational/Managerial Control Jan 27, 2012
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
Operational/Managerial ControlManager 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%
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.

  • Amedisys Mississippi, LLC

    dba Adoration Home Health

    • Home Health Agency
    • Biloxi, MS
    • NPI 1093763773

    Adoration Home Health & Hospice Inc, Adoration Home Health Acquisitions, LLC, Adoration Home Health Care LLC, Brightspring Health Holdings Corp., Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care

    CMS ownership
  • Amedisys Mississippi, LLC

    dba Adoration Home Health

    • Home Health Agency
    • Collins, MS
    • NPI 1467400168

    Adoration Home Health & Hospice Inc, Adoration Home Health Acquisitions, LLC, Adoration Home Health Care LLC, Brightspring Health Holdings Corp., Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care

    CMS ownership
  • Home Health Care Services II, Inc.

    dba Adoration Home Health Care Mississippi

    • Community Based Hospice Care Agency
    • Cleveland, MS
    • NPI 1316923022

    Adoration Home Health & Hospice Inc, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc

    CMS ownership
  • Home Health Care Services II, Inc.

    dba Adoration Home Health Care Mississippi

    • Home Health Agency
    • Cleveland, MS
    • NPI 1487639548

    Adoration Home Health & Hospice Inc, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc

    CMS ownership
  • Home Health Care Services, Inc.

    dba Adoration Home Health and Hospice Care Mississippi

    • Home Health Agency
    • Indianola, MS
    • NPI 1154304491

    Adoration Home Health & Hospice Inc, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc

    CMS ownership
  • Home Health Care Services, Inc.

    dba Adoration Home Health and Hospice Care Mississippi

    • Community Based Hospice Care Agency
    • Yazoo City, MS
    • NPI 1851377469

    Adoration Home Health & Hospice Inc, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc

    CMS ownership
  • Magnolia Hospice, LLC

    dba Spring Valley Hospice

    • Community Based Hospice Care Agency
    • Tupelo, MS
    • NPI 1790159358

    Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

    CMS ownership
  • Nine Palms 2 LLC

    dba Adoration Home Health

    • Home Health Agency
    • Gulfport, MS
    • NPI 1104871094

    Adoration Home Health & Hospice Inc, Adoration Home Health Acquisitions, LLC, Adoration Home Health Care LLC, Brightspring Health Holdings Corp., Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care

    CMS ownership
  • Spring Valley Hospice, LLC
    • Community Based Hospice Care Agency
    • Olive Branch, MS
    • NPI 1306086756

    Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

    CMS ownership
  • Abilishealth Brownsville, LLC

    dba Adoration Home Health Brownsville

    • Home Health Agency
    • Brownsville, TN
    • NPI 1639659675

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc

    CMS ownership
  • Abilishealth Knoxville, LLC

    dba Adoration Home Health

    • Home Health Agency
    • Knoxville, TN
    • NPI 1255811295

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc

    CMS ownership
  • Abilishealth Martin, LLC

    dba Adoration Home Health Martin

    • Home Health Agency
    • Martin, TN
    • NPI 1093295040

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc

    CMS ownership
View all 150

Practitioners & affiliated clinicians

Affiliated clinicians 50

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

View all 50

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": "1245288943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 105",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805882",
            "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": "2080 S FRONTAGE RD",
            "address_2": "SUITE 105",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805328",
            "telephone_number": "601-619-3670",
            "fax_number": "601-619-3672"
        }
    ],
    "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": "7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770548",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amedisys Home Health of Vicksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.