NPIMap

Organization Active NPI

Amedisys Georgia LLC

Doing business as Tugaloo Home Health Agency an Amedisys Company

  • Home Health Agency
  • Clayton, GA
National Provider Identifier
1740406156
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
059-240 Issued in GA
Legal business name
AMEDISYS GEORGIA LLC
Doing business as
Tugaloo Home Health Agency an Amedisys Company
Practice address
75 N Main St
Ste 105
Clayton, GA 30525-4264
Phone
(800) 348-2852
Fax
(866) 268-3538
NPI assigned
Apr 17, 2007
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 059-240 GA Primary

Addresses

Primary practice location

75 N Main St
Ste 105
Clayton, GA 30525-4264

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
000189164FMedicaidGA
00824909EMedicaidGA

Other names 1

  • Tugaloo Home Health Agency an Amedisys Company Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Georgia LLC61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

75 N Main St
Ste 105
Clayton, GA 30525
Phone (800) 348-2852

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1740406156",
    "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": "75 N MAIN ST",
            "address_2": "STE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254264",
            "telephone_number": "800-348-2852",
            "fax_number": "866-268-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-11-01",
        "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": "059-240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000189164F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00824909E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tugaloo Home Health Agency an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.