Organization
INFINITY HOME CARE OF DISTRICT 9
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUSSEROW (PRESIDENT)
(226) 202-2031
Entity
Organization
Contact information
Practice address
525 NW LAKE WHITNEY PL STE 201, PORT ST LUCIE, FL 34986-1605
(561) 338-0743
(561) 338-0745
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
299992647
FL
251E00000X
Home Health Agency
Primary
HHA299992647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-8439
MEDICARE
FL
01
—
299992647
STATE LICENSE #
FL
Enumeration date
02/04/2008
Last updated
11/17/2017
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