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Organization
AMEDISYS SP-IN, LLC
Active
Organization
AMEDISYS SP-IN, LLC
Active
Other names
Adoration Home Health, Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
2200 LAKE AVE, SUITE 150, FORT WAYNE, IN 46805
(260) 422-8900
(260) 422-8911
Mailing address
2200 LAKE AVE STE 150, FORT WAYNE, IN 46805-5347
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
120111101
IN
251E00000X
Home Health Agency
13-011110-1
IN
251E00000X
Home Health Agency
14-011110-1
IN
251E00000X
Home Health Agency
16-011110-1
IN
251E00000X
Home Health Agency
Primary
18-011110-1
IN
Other
Enumeration date
05/19/2006
Last updated
08/31/2026
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