Organization Active NPI

Amedisys West Virginia, L.L.C.

Doing business as Amedisys Home Health of West Virginia

  • Home Health Agency
  • Huntington, WV
National Provider Identifier
1902000391
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMEDISYS WEST VIRGINIA, L.L.C.
Doing business as
Amedisys Home Health of West Virginia
Practice address
3135 16TH Street
Suite 22
Huntington, WV 25701-5247
Phone
(304) 523-2426
Fax
(304) 523-6183
NPI assigned
Jun 12, 2007
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Kusserow
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X WV Primary

Addresses

Primary practice location

3135 16TH Street
Suite 22
Huntington, WV 25701-5247

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3810009786MedicaidWV

Other names 1

  • Amedisys Home Health of West Virginia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys West Virginia LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3135 16th Street Rd
Ste 22
Huntington, WV 25701
Phone (304) 523-2426

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1902000391",
    "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": "3135 16TH STREET",
            "address_2": "SUITE 22",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257015247",
            "telephone_number": "304-523-2426",
            "fax_number": "304-523-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS WEST VIRGINIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "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": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009786",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.