Organization Active NPI

Infinity Home Care of District 9

Doing business as Amedisys Home Health

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1902084759
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299992647 Issued in FL
Legal business name
INFINITY HOME CARE OF DISTRICT 9
Doing business as
Amedisys Home Health
Practice address
525 NW Lake Whitney PL Ste 201
Port St Lucie, FL 34986-1605
Phone
(561) 338-0743
Fax
(561) 338-0745
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Paul Kusserow
Title
President
Phone
(226) 202-2031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992647 FL
Home Health Agency 251E00000X HHA299992647 FL Primary

Addresses

Primary practice location

525 NW Lake Whitney PL Ste 201
Port St Lucie, FL 34986-1605

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
10-8439OtherFLMEDICARE
299992647OtherFLSTATE LICENSE #

Other names 1

  • Amedisys Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

1700 W Woolbright Rd
Ste 7
Boynton Beach, FL 33426
Phone (561) 810-4142

1200 NW 17th Ave
Ste 16
Delray Beach, FL 33445
Phone (561) 338-0743

525 NW Lake Whitney Pl
Ste 201
Port St Lucie, FL 34986
Phone (561) 338-0743

1715 37th Pl
Ste 302
Vero Beach, FL 32960
Phone (772) 204-8967

Practitioners & affiliated clinicians

Practitioners 1

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": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1902084759",
    "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": "525 NW LAKE WHITNEY PL STE 201",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861605",
            "telephone_number": "561-338-0743",
            "fax_number": "561-338-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HOME CARE OF DISTRICT 9",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "226-202-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992647",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "10-8439",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "299992647",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.