AMEDISYS GEORGIA LLC NPI 1003032475

Home Health in Demorest, GA

NPI 1003032475 Organization Home Health

About AMEDISYS GEORGIA LLC

Amedisys Georgia Llc is a provider established in Demorest, Georgia specializing in home health. The NPI number of Amedisys Georgia Llc is 1003032475 and was assigned on April 2007. The practitioner's primary taxonomy code is 251E00000X with license number 059-240-H (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Paul B Kusserow (President)

NPI

1003032475

Provider NameAMEDISYS GEORGIA LLC
Provider Location Address691 441 HISTORIC HWY N SUITE 6 DEMOREST, GA 30535
Provider Mailing Address3854 AMERICAN WAY SUITE A BATON ROUGE, LA 70816
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-17-2007
Last Update Date02-28-2018


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License No.059-240-H
License StateGA
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

AMEDISYS GEORGIA LLC
691 441 HISTORIC HWY N
SUITE 6
DEMOREST, GA
ZIP 30535
Phone: (866) 464-9124
Fax: (866) 268-3586

Get Directions


Mailing Address

AMEDISYS GEORGIA LLC
3854 AMERICAN WAY
SUITE A
BATON ROUGE, LA
ZIP 70816
Phone: (225) 292-2031
Fax: (225) 295-9678



Authorized Official

Authorized Official NameMR. PAUL B KUSSEROW
Authorized Official TitlePRESIDENT
Authorized Official Phone(225) 292-2031

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1251E00000XAgenciesHome Health055-240GANo

Taxonomy Description: a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00824909CMEDICAID (05)GA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.