Active NPI
Amedisys Kansas, L.L.C.
Doing business as Amedisys Hospice of Wichita
- Community Based Hospice Care Agency
- Wichita, KS
National Provider Identifier
1801089859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMEDISYS KANSAS, L.L.C.
- Doing business as
- Amedisys Hospice of Wichita
- Practice address
- 250 W Douglas Ave
Suite 110
Wichita, KS 67202-3110 - Phone
- (316) 945-9802
- Fax
- (316) 945-9897
- NPI assigned
- Aug 23, 2007
- Last updated
- Jul 22, 2016
- Organization subpart
- No
NPPES NPI Registry
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
- (316) 945-9802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
250 W Douglas Ave
Suite 110
Wichita, KS 67202-3110
Mailing address
3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200533600B | Medicaid | KS |
Other names 1
- Amedisys Hospice of Wichita
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469145600000",
"number": "1801089859",
"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": "250 W DOUGLAS AVE",
"address_2": "SUITE 110",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023110",
"telephone_number": "316-945-9802",
"fax_number": "316-945-9897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDISYS KANSAS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2016-07-22",
"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": "316-945-9802",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200533600B",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Hospice of Wichita",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.