Amedisys Georgia, L.L.C.
Organization Active NPI Home Health Agency · Newnan, GA
NPI 1609094341 · NPPES record last updated Sep 28, 2016
Key facts
- NPI
- 1609094341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 048-241-H (GA)
- Legal business name
- AMEDISYS GEORGIA, L.L.C.
- Practice address
- 1825 Highway 34 E
Suite 2400
Newnan, GA 30265-6411 - Phone
- (678) 423-9171
- Fax
- (678) 423-9182
- NPI assigned
- Apr 20, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- AMEDISYS GEORGIA, L.L.C.
Authorized official
- Name
- Mr. Paul B Kusserow
- Title
- President
- Phone
- (225) 292-2031
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Amedisys Georgia LLC
- Part of
- Amedisys Georgia LLC
Locations
1825 Highway 34 E
Ste 2400
Newnan, GA 30265
Phone (678) 423-9171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 048-241-H | GA | Yes |
Addresses
Primary practice location
1825 Highway 34 E
Suite 2400
Newnan, GA 30265-6411
Mailing address
3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000824942G | Medicaid | GA |
Other names
- Central Home Health
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 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.