NPIMap

Organization Active NPI

Amedisys Mississippi, LLC

Doing business as Amedisys Home Health of Picayune

  • Home Health Agency
  • Picayune, MS
National Provider Identifier
1619209301
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9595 Issued in MS
Legal business name
AMEDISYS MISSISSIPPI, LLC
Doing business as
Amedisys Home Health of Picayune
Practice address
509 Highway 11 N
Suite B
Picayune, MS 39466-3349
Phone
(601) 799-2626
Fax
(601) 799-0839
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 9595 MS Primary

Addresses

Primary practice location

509 Highway 11 N
Suite B
Picayune, MS 39466-3349

Mailing address

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

Other names 1

  • Amedisys Home Health of Picayune 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.

Locations

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

509 Highway 11 N
#B
Picayune, MS 39466
Phone (601) 799-2626

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": "1619209301",
    "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": "509 HIGHWAY 11 N",
            "address_2": "SUITE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663349",
            "telephone_number": "601-799-2626",
            "fax_number": "601-799-0839"
        }
    ],
    "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": "9595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Picayune",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Picayune, 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.