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Amedisys Mississippi, LLC

Organization Active NPI Home Health Agency · Byram, MS

NPI 1346572039 · NPPES record last updated Sep 29, 2016

Key facts

NPI
1346572039
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
7394 (MS)
Legal business name
AMEDISYS MISSISSIPPI, LLC
Practice address
310 Byram PL
Suite E
Byram, MS 39272-8733
Phone
(601) 371-9051
Fax
(601) 371-7459
NPI assigned
Feb 4, 2010
Organization subpart
Yes
Parent organization (as reported)
AMEDISYS MISSISSIPPI, LLC

Authorized official

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

Corporate family (same tax ID) 11

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

National Provider Directory

Tax ID family
Amedisys Mississippi LLC (12 organizations share this tax ID)
Part of
Amedisys Mississippi LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7394 MS Yes

Addresses

Primary practice location

310 Byram PL
Suite E
Byram, MS 39272-8733

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
00770548MedicaidMS

Other names

  • Amedisys Home Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 29, 2016.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1346572039",
    "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": "310 BYRAM PL",
            "address_2": "SUITE E",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728733",
            "telephone_number": "601-371-9051",
            "fax_number": "601-371-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS MISSISSIPPI, LLC",
        "enumeration_date": "2010-02-04",
        "last_updated": "2016-09-29",
        "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": "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": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byram, MS

All providers in Byram, MS · Home Health Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.