Organization
AMEDISYS HOSPICE, LLC
Active
Other names
Amedisys Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
4017 COMMON ST, LAKE CHARLES, LA 70607-2942
(337) 562-3200
(337) 478-9501
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
251G00000X
Community Based Hospice Care Agency
2203781123
LA
251G00000X
Community Based Hospice Care Agency
Primary
2203781671
LA
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580732
—
LA
Enumeration date
08/09/2005
Last updated
10/03/2016
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