NPIMap

Organization Active NPI

Amedisys Mississippi, LLC

  • Home Health Agency
  • Hattiesburg, MS
National Provider Identifier
1982936670
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2381 Issued in MS
Legal business name
AMEDISYS MISSISSIPPI, LLC
Practice address
132 Mayfair Rd
Suite 1
Hattiesburg, MS 39402-1463
Phone
(601) 296-9710
Fax
(601) 296-9688
NPI assigned
Feb 4, 2010
Organization subpart
Yes
Parent organization
AMEDISYS MISSISSIPPI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 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 2381 MS Primary

Addresses

Primary practice location

132 Mayfair Rd
Suite 1
Hattiesburg, MS 39402-1463

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
01983097OtherMSHOMEMAKER SERVICES
00070587MedicaidMS

Other names 1

  • Amedisys Home Health of Hattiesburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Mississippi LLC12 organizations share this tax ID, including this one
Part of
Amedisys Mississippi LLC

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1982936670",
    "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": "132 MAYFAIR RD",
            "address_2": "SUITE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021463",
            "telephone_number": "601-296-9710",
            "fax_number": "601-296-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS MISSISSIPPI, LLC",
        "enumeration_date": "2010-02-04",
        "last_updated": "2016-09-28",
        "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": "MS",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER SERVICES",
            "identifier": "01983097",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070587",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Hattiesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

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