Organization Active NPI

Amedisys SP-in, LLC

Doing business as Adoration Home Health

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1437103199
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
18-011110-1 Issued in IN
Legal business name
AMEDISYS SP-IN, LLC
Doing business as
Adoration Home Health
Amedisys Home Health
Practice address
2200 Lake Ave
Suite 150
Fort Wayne, IN 46805
Phone
(260) 422-8900
Fax
(260) 422-8911
NPI assigned
May 19, 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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 120111101 IN
Home Health Agency 251E00000X 13-011110-1 IN
Home Health Agency 251E00000X 14-011110-1 IN
Home Health Agency 251E00000X 16-011110-1 IN
Home Health Agency 251E00000X 18-011110-1 IN Primary

Addresses

Primary practice location

2200 Lake Ave
Suite 150
Fort Wayne, IN 46805

Mailing address

2200 Lake Ave Ste 150
Fort Wayne, IN 46805-5347
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
200841710AMedicaidIN

Other names 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060725000188 IN Part A Provider - Home Health Agency 7012942311 1 other NPI on this enrollment
Practice locations: Fort Wayne, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437103199. Details of each certification follow.

Home health agency certification: CCN 157583

Legal name
AMEDISYS SP-IN, L.L.C.
Doing business as
ADORATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 21, 2006
Last certification
Sep 17, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 25, 2005 in IN
Enrollment address
2200 Lake Avenue
Suite 150
Fort Wayne, IN 46805-5347

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home HealthCCN 157583 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Dec 21, 2006
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
15D1059476Amedisys SP-in LLC D/B/a Amedisys Home Health2200 Lake Avenue, Suite 150, Fort Wayne, IN 46805Certificate of waiverOct 1, 2026

National Provider Directory

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

Other organizations with this tax ID 7

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

303 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 284-3030

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 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, Chain home office, 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%
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%
Tori Guzman Individual W-2 Managing EmployeeAd; Dec 6, 2024
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.

View all 150

Practitioners & affiliated clinicians

Affiliated clinicians 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1437103199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LAKE AVE STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055347",
            "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": "2200 LAKE AVE",
            "address_2": "SUITE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46805",
            "telephone_number": "260-422-8900",
            "fax_number": "260-422-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS SP-IN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "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": "IN",
            "license": "120111101",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "13-011110-1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "14-011110-1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "16-011110-1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "18-011110-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200841710A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.