NPIMap

Organization Active NPI

Amedisys Mississippi, LLC

Doing business as Amedisys Home Health

  • Home Health Agency
  • Flowood, MS
National Provider Identifier
1437481124
Registry record updated Sep 29, 2016
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
Amedisys Home Health
Practice address
4294 Lakeland Dr
Suite 200
Flowood, MS 39232-9509
Phone
(601) 420-2056
Fax
(601) 420-4874
NPI assigned
Feb 4, 2010
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS MISSISSIPPI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
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

4294 Lakeland Dr
Suite 200
Flowood, MS 39232-9509

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00770548MedicaidMS

Other names 1

  • Amedisys Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Mississippi LLC12 organizations share this tax ID, including this one
Part of
Amedisys Mississippi LLC

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1437481124",
    "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": "4294 LAKELAND DR",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329509",
            "telephone_number": "601-420-2056",
            "fax_number": "601-420-4874"
        }
    ],
    "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 Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.