NPIMap

Organization Active NPI

Amedisys Georgia, LLC

Doing business as Care One Home Health Services, an Amedisys Company

  • Home Health Agency
  • Rincon, GA
National Provider Identifier
1902137565
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
025-145 Issued in GA
Legal business name
AMEDISYS GEORGIA, LLC
Doing business as
Care One Home Health Services, an Amedisys Company
Practice address
907 Lisa St
Suite a
Rincon, GA 31326-9681
Phone
(912) 826-5884
Fax
(912) 826-6352
NPI assigned
Jan 21, 2010
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS GEORGIA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 025-145 GA Primary

Addresses

Primary practice location

907 Lisa St
Suite a
Rincon, GA 31326-9681

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
000336883FMedicaidGA

Other names 1

  • Care One Home Health Services, 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
Part of
Amedisys Georgia LLC

Organizations with this tax ID in the same state 19

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

View all 19

Locations

907 Lisa St
Ste A
Rincon, GA 31326
Phone (912) 826-5884

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1902137565",
    "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": "907 LISA ST",
            "address_2": "SUITE A",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313269681",
            "telephone_number": "912-826-5884",
            "fax_number": "912-826-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS GEORGIA, LLC",
        "enumeration_date": "2010-01-21",
        "last_updated": "2016-10-03",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "025-145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336883F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care One Home Health Services, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.