Amedisys Hospice Of Vienna

LBN: Amedisys West Virginia, L.L.C.
Amedisys Hospice Of Vienna is an health care organization with primary practice located at 2200 Grand Central Ave Suite 102, Vienna WV 26105-1300. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Nursing & Custodial Care Facilities / Hospice, Inpatient. Agencies / Hospice Care, Community Based is the primary health care specialty. Amedisys West Virginia, L.L.C. can be contacted via phone (304) 424-6270, or through Kusserow, Paul via phone (225) 292-2031.

Contact Information

Primary practice address
2200 Grand Central Ave Suite 102 Vienna WV 26105-1300
Phone: (304) 424-6270
Fax: (304) 424-6274
Website:
Map and Directions
Authorized official contact:
Name: Kusserow, Paul
Phone: (225) 292-2031

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 21 West Virginia
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X 21 West Virginia

Profile Details

NPI number 1366600256
LBN Legal business name Amedisys West Virginia, L.L.C.
DBA Doing business as Amedisys Hospice Of Vienna
Authorized official Kusserow, Paul
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2008
Last updated Jul 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 1366600256 NPPES
West Virginia MEDICAID 3810017240
West Virginia MEDICAID 3810019171
West Virginia MEDICAID 3810011798

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