Amedisys Northwest Home Health

LBN: Amedisys Northwest, L.L.C.
Amedisys Northwest Home Health is an health care organization with primary practice located at 111 Mountain Vista Blvd Suite 145, Canton GA 30115-4272. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Amedisys Northwest, L.L.C. can be contacted via phone (770) 345-3630, or through Kusserow, Paul B via phone (225) 292-2031.

Contact Information

Primary practice address
111 Mountain Vista Blvd Suite 145 Canton GA 30115-4272
Phone: (770) 345-3630
Fax: (770) 345-3655
Website:
Map and Directions
Authorized official contact:
Name: Kusserow, Paul B
Phone: (225) 292-2031

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 112-095 Georgia

Profile Details

NPI number 1982822623
LBN Legal business name Amedisys Northwest, L.L.C.
DBA Doing business as Amedisys Northwest Home Health
Authorized official Kusserow, Paul B
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 20th, 2007
Last updated Sep 28th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982822623 NPPES
Georgia MEDICAID 00208007H
Georgia Other 11Q7064002

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