Amedisys Mississippi, LLC
Organization Active NPI Home Health Agency · Gautier, MS
NPI 1821320516 · NPPES record last updated Sep 29, 2016
Key facts
- NPI
- 1821320516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 9595 (MS)
- Legal business name
- AMEDISYS MISSISSIPPI, LLC
- Practice address
- 2012 Highway 90
Gautier, MS 39553-5306 - Phone
- (228) 696-0336
- Fax
- (228) 696-0298
- NPI assigned
- Feb 4, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- AMEDISYS MISSISSIPPI, LLC
Authorized official
- Name
- Paul B Kusserow
- Title
- President
- Phone
- (225) 292-2031
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Amedisys Mississippi LLC
- Part of
- Amedisys Mississippi LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 9595 | MS | Yes |
Addresses
Primary practice location
2012 Highway 90
Gautier, MS 39553-5306
Mailing address
3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770086 | Medicaid | MS | |
| 07626363 | Other | MS | HOMEMAKER SERVICES |
Other names
- Amedisys Home Health of Pascagoula
Other providers in Gautier, MS
- Sara Jane Adair
- Nicole Adams
- Jessica Letric Alford
- Larisa Alfsen
- Jamie Kristen Allen
- Venus Lacy Amezcua
- Diane Anderson
- Sheila Elaine Andrews
- Archon Med LLC
- Ark Medical PLLC
All providers in Gautier, MS · Home Health Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 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.