NPIMap

Organization Active NPI

Amedisys Home Health of Virginia LLC

Doing business as Amedisys Home Health of Goochland

  • Home Health Agency
  • Goochland, VA
National Provider Identifier
1306964168
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
EXEMPT Issued in NU
Legal business name
AMEDISYS HOME HEALTH OF VIRGINIA LLC
Doing business as
Amedisys Home Health of Goochland
Practice address
3015 River Rd W
Goochland, VA 23063-3203
Phone
(804) 556-7172
Fax
(804) 556-7176
NPI assigned
Mar 27, 2007
Last updated
Jun 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X EXEMPT NU Primary

Addresses

Primary practice location

3015 River Rd W
Goochland, VA 23063-3203

Mailing address

3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2032

Other identifiers 1

IdentifierTypeStateIssuer
010131090MedicaidVA

Other names 1

  • Amedisys Home Health of Goochland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000340 VA Part A Provider - Home Health Agency 6901867696 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crewe, VA; Fredericksburg, VA; Midlothian, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306964168. Details of each certification follow.

Home health agency certification: CCN 497538

Legal name
AMEDISYS HOME HEALTH OF VIRGINIA, LLC
Doing business as
AMEDISYS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 15, 1997
Last certification
Jan 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
4589 Lifestyle LN
Midlothian, VA 23112-4807

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home HealthCCN 497538 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 15, 1997
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

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo-LHC Group Apr 13, 2026
Bridget R Kaigler Individual Operational/Managerial ControlSr Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Feb 13, 2012 100%
Joni Babineaux Individual Corporate OfficerCfo-LHC Group Apr 13, 2026
Kristina J Braud Individual Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2011
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 333

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

View all 333

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1306964168",
    "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": "225-292-2032",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 RIVER RD W",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230633203",
            "telephone_number": "804-556-7172",
            "fax_number": "804-556-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOME HEALTH OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-06-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010131090",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Goochland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goochland, VA

Sources for this page

Verify at the official NPI Registry.