NPIMap

Organization Active NPI

Amedisys Northwest LLC

Doing business as Amedisys Home Health of Thomaston

  • Home Health Agency
  • Thomaston, GA
National Provider Identifier
1558586347
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
126-278 Issued in GA
Legal business name
AMEDISYS NORTHWEST LLC
Doing business as
Amedisys Home Health of Thomaston
Practice address
113 Crawley St
Thomaston, GA 30286-3576
Phone
(706) 648-1148
Fax
(866) 727-3621
NPI assigned
Apr 16, 2007
Last updated
Oct 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 126-278 GA Primary

Addresses

Primary practice location

113 Crawley St
Thomaston, GA 30286-3576

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00183961EMedicaidGA

Other names 1

  • Amedisys Home Health of Thomaston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Northwest LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1558586347",
    "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": "113 CRAWLEY ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863576",
            "telephone_number": "706-648-1148",
            "fax_number": "866-727-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2017-10-11",
        "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": "GA",
            "license": "126-278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00183961E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Thomaston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.