Organization
AMEDISYS SP-IN, L.L.C.
Active
Other names
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
303 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130
(812) 284-3030
(812) 284-6449
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
120060001
IN
251E00000X
Home Health Agency
14-006000-1
IN
251E00000X
Home Health Agency
Primary
18-006000-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804850A
—
IN
Enumeration date
05/04/2006
Last updated
05/29/2018
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