NPIMap

Organization Active NPI

Amedisys SP-in, L.L.C.

Doing business as Amedisys Home Health of Terre Haute

  • Home Health Agency
  • Terre Haute, IN
National Provider Identifier
1306037932
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
15-004926-1 Issued in IN
Legal business name
AMEDISYS SP-IN, L.L.C.
Doing business as
Amedisys Home Health of Terre Haute
Practice address
4134 S 7TH St
Terre Haute, IN 47802-4123
Phone
(812) 234-1850
Fax
(812) 232-5689
NPI assigned
Aug 8, 2007
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS SP-IN, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060049261 IN
Home Health Agency 251E00000X 13-004926-1 IN
Home Health Agency 251E00000X 15-004926-1 IN Primary

Addresses

Primary practice location

4134 S 7TH St
Terre Haute, IN 47802-4123

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
200836910BMedicaidIN

Other names 1

  • Amedisys Home Health of Terre Haute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys SP-in LLC8 organizations share this tax ID, including this one
Part of
Amedisys SP-in LLC

Other organizations with this tax ID 7

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

Locations

4134 S 7th St
Terre Haute, IN 47802
Phone (812) 234-1850

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1306037932",
    "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": "4134 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024123",
            "telephone_number": "812-234-1850",
            "fax_number": "812-232-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS SP-IN, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS SP-IN, L.L.C.",
        "enumeration_date": "2007-08-08",
        "last_updated": "2016-09-28",
        "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": "IN",
            "license": "060049261",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "13-004926-1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "15-004926-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200836910B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Terre Haute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.