NPIMap

Organization Active NPI

Amedisys Hospice, LLC

Doing business as Amedisys Hospice

  • Community Based Hospice Care Agency
  • Lake Charles, LA
National Provider Identifier
1649271016
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2203781671 Issued in LA
Legal business name
AMEDISYS HOSPICE, LLC
Doing business as
Amedisys Hospice
Practice address
4017 Common St
Lake Charles, LA 70607-2942
Phone
(337) 562-3200
Fax
(337) 478-9501
NPI assigned
Aug 9, 2005
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU
Community Based Hospice Care Agency 251G00000X 2203781123 LA
Community Based Hospice Care Agency 251G00000X 2203781671 LA Primary

Addresses

Primary practice location

4017 Common St
Lake Charles, LA 70607-2942

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1580732MedicaidLA

Other names 1

  • Amedisys Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000646 LA Part A Provider - Hospice 4183606304 Practice locations: Lake Charles, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649271016. Details of each certification follow.

Hospice certification: CCN 191534

Legal name
AMEDISYS HOSPICE, L.L.C.
Doing business as
AMEDISYS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 23, 1995
Last certification
Apr 7, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 26, 2020 in LA
Enrollment address
4017 Common St
Lake Charles, LA 70607-2942

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Care Compare: Hospice

Medicare Care Compare
Listed as
Amedisys HospiceCCN 191534 · All quality measures
Ownership
For-Profit
Certified
May 23, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Hospice LLC42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Scott G Ginn Individual Corporate OfficerCfo, Treasurer and Vice President Apr 15, 2022
Elizabeth Michelli Individual W-2 Managing EmployeeAdministrator Jan 24, 2023 100%
Operational/Managerial ControlAdministrator Jan 24, 2023 100%
Bridget R Kaigler Individual Operational/Managerial ControlSr Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 7, 2012 100%
Travis Miglicco Individual Corporate OfficerSenior Vice President of Tax Apr 15, 2022
Richard M Ashworth Individual Corporate OfficerPresident & Ceo Apr 10, 2023
Kristina J Braud Individual Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 7, 2012 100%
Jennifer Guckert-Griffin Individual Corporate OfficerVice President, Secretary Apr 1, 2022

All facility ownership & control disclosures 59

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Hospice of Greater PhiladelphiaBensalem, PA, CCN 391597 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceStafford, TX, CCN 451735 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Aseracare HospiceSioux Falls, SD, CCN 431516 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceMurfreesboro, TN, CCN 441527 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Aseracare Hospice - MobileMobile, AL, CCN 011567 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Amedisys Hospice of HamiltonHamilton, AL, CCN 011586 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 1, 2020
Aseracare Hospice - DecaturDecatur, AL, CCN 011566 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Aseracare HospiceWaterford, PA, CCN 391661 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Aseracare HospiceLancaster, PA, CCN 391662 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Amedisys Hospice of YorkYork, PA, CCN 391653 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Amedisys HospiceBurlington, NJ, CCN 311537 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Compassionate Care HospiceBloomfield, NJ, CCN 311542 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Aseracare HospiceEvansville, IN, CCN 151590 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Compassionate Care HospiceOlyphant, PA, CCN 391667 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Aseracare HospiceExton, PA, CCN 391651 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Aseracare HospiceOmaha, NE, CCN 281514 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Amedisys Hospice of WaukeshaBrookfield, WI, CCN 521556 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Aseracare HospiceBellevue, WI, CCN 521575 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Amedisys Hospice CareBartlett, TN, CCN 441506 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2004
Aseracare HospiceCouncil Bluffs, IA, CCN 161532 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Compassionate Care HospiceNewark, DE, CCN 081504 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Aseracare HospiceIndianapolis, IN, CCN 151537 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Aseracare HospiceAltoona, PA, CCN 391655 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Aseracare HospiceSavannah, MO, CCN 261555 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Aseracare HospiceNorfolk, NE, CCN 281538 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Aseracare HospiceValparaiso, IN, CCN 151595 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Amedisys Hospice of RichmondNorth Chesterfield, VA, CCN 491584 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020
Compassionate Care Hospice of the Delmar Peninsula, LLCMilford, DE, CCN 081509 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Aseracare HospiceFresno, CA, CCN 551540 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Compassionate Care Hospice of Massachusetts LLCWoburn, MA, CCN 221582 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Compassionate Care HospiceBudd Lake, NJ, CCN 311573 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Aseracare HospiceAllentown, PA, CCN 391712 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Amedisys Hospice of South CarolinaFlorence, SC, CCN 421555 Hospice 5% Or Greater Direct Ownership Interest Aug 1, 2009
Amedisys HospiceConroe, TX, CCN 671647 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Compassionate Care Hospice of Southeastern Massachusetts LLCBridgewater, MA, CCN 221593 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceLenexa, KS, CCN 171574 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospicePooler, GA, CCN 111702 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Aseracare HospiceKearney, NE, CCN 281543 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Aseracare HospiceYork, NE, CCN 281544 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Amedisys Hospice CareChesapeake, VA, CCN 491600 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceDallas, TX, CCN 671674 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceMacon, GA, CCN 111705 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys Hospice of Greater PittsburghMonroeville, PA, CCN 391728 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Compassionate Care HospiceAlexandria, LA, CCN 191673 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceBrenham, TX, CCN 671679 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Compassionate Care Hospice of South Carolina, LLCWest Columbia, SC, CCN 421606 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceAthens, GA, CCN 111708 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Compassionate Care HospiceBartow, FL, CCN 101553 Hospice 5% Or Greater Direct Ownership Interest (90%)
5% Or Greater Indirect Ownership Interest (10%)		 Feb 1, 2019
Feb 1, 2019
Amedisys HospiceAustin, TX, CCN 671753 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceGreenville, NC, CCN 341512 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2020
Amedisys HospiceKansas City, MO, CCN 261649 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Compassionate Care Hospice of Ohio, LLCAkron, OH, CCN 361669 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceHialeah, FL, CCN 101554 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2019
Compassionate Care Hospice of Lake and Sumter IncThe Villages, FL, CCN 101556 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Amedisys HospiceFort Worth, TX, CCN 451700 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2020
Willow Tree HospiceKennett Square, PA, CCN 391678 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2020
Amedisys Hospice of Harrisburg WestHarrisburg, PA, CCN 391745 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2020
Pathways Hospice and Palliative CareBerea, OH, CCN 361676 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2020
Aseracare HospiceOmaha, NE, CCN 281526 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 29, 2020

Owned or controlled facilities with NPI records 59

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 59

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1649271016",
    "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": "4017 COMMON ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706072942",
            "telephone_number": "337-562-3200",
            "fax_number": "337-478-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2016-10-03",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203781123",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203781671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.