# AMEDISYS PUERTO RICO, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Estancia HomeCare, an Amedisys Company
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164605101
- **Authorized official:** MR. PAUL B KUSSEROW (PRESIDENT)
- **Authorized official phone:** (225) 292-2031

## Contact information

- **Practice address:** 7 CALLE 1, SUITE 303, GUAYNABO, PR 00968-1760
- **Practice address phone:** (787) 762-0889
- **Practice address fax:** (787) 752-6481
- **Mailing address:** 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
- **Mailing address phone:** (225) 292-2031
- **Mailing address fax:** (225) 295-9678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 50 | PR | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 03/19/2015