# AMEDISYS HOME HEALTH OF VIRGINIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Health of Fredericksburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326166620
- **Authorized official:** PAUL KUSSEROW (PRESIDENT)
- **Authorized official phone:** (225) 292-2031

## Contact information

- **Practice address:** 200 EXECUTIVE CENTER PKWY, SUITE 100, FREDERICKSBURG, VA 22401-3177
- **Practice address phone:** (540) 371-7422
- **Practice address fax:** (540) 371-7466
- **Mailing address:** 3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
- **Mailing address phone:** (225) 292-2031
- **Mailing address fax:** (225) 295-9678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | EXEMPT | — | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 07/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010293642 | — | VA |