NPIMap

Organization Active NPI

Amedisys West Virginia, L.L.C.

  • Home Health Agency
  • Bluefield, WV
National Provider Identifier
1487823183
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
N/A Issued in WV
Legal business name
AMEDISYS WEST VIRGINIA, L.L.C.
Practice address
545 Airport Rd
Suite 101
Bluefield, WV 24701-7388
Phone
(304) 325-0066
Fax
(304) 325-0077
NPI assigned
Feb 27, 2008
Organization subpart
Yes
Parent organization
AMEDISYS WEST VIRGINIA, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N/A WV Primary

Addresses

Primary practice location

545 Airport Rd
Suite 101
Bluefield, WV 24701-7388

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3810012503MedicaidWV

Other names 1

  • Amedisys Home Health of West Virginia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys West Virginia LLC7 organizations share this tax ID, including this one
Part of
Amedisys West Virginia LLC

Other organizations with this tax ID 6

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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1487823183",
    "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": "545 AIRPORT RD",
            "address_2": "SUITE 101",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247017388",
            "telephone_number": "304-325-0066",
            "fax_number": "304-325-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS WEST VIRGINIA, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS WEST VIRGINIA, L.L.C.",
        "enumeration_date": "2008-02-27",
        "last_updated": "2017-03-13",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012503",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.