Amedisys West Virginia, L.L.C.
Organization Active NPI Home Health Agency · Fayetteville, WV
NPI 1467655019 · NPPES record last updated Jul 28, 2016
Key facts
- NPI
- 1467655019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AMEDISYS WEST VIRGINIA, L.L.C.
- Practice address
- 5447 Maple LN
Suite a
Fayetteville, WV 25840-6872 - Phone
- (304) 574-1141
- Fax
- (304) 574-1151
- NPI assigned
- Jun 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Paul Kusserow
- Title
- President
- Phone
- (225) 292-2031
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Amedisys West Virginia LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
5447 Maple LN
Suite a
Fayetteville, WV 25840-6872
Mailing address
3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810008960 | Medicaid | WV |
Other names
- Amedisys Home Health of West Virginia
Other providers in Fayetteville, WV
- Lisa Marie Abbott
- Mikaela Lynn Adkins
- Shondda Cristae Allen
- Amedisys Home Health
- Michael Louis Antolini
- Diane Elizabeth Ashby
- Lori Atkins
- Cynthia Ann Bail
- Leigh A. Bane
All providers in Fayetteville, WV · Home Health Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.