Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NINE PALMS 1, LLC
Active
Organization
NINE PALMS 1, LLC
Active
Parent organization
NINE PALMS 1, LP
Other names
Brookside Home Health, an Amedisys Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
NINE PALMS 1, LP
Authorized official
MR. PAUL KUSSEROW (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
6606 MAIN ST, GLOUCESTER, VA 23061
(804) 758-1311
(804) 758-8817
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881846087
—
VA
Enumeration date
10/21/2008
Last updated
05/31/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers