Brookside Home Health, An Amedisys Company

LBN: Nine Palms 1, Llc
Brookside Home Health, An Amedisys Company is an health care organization with primary practice located at 6606 Main St , Gloucester VA 23061. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Nine Palms 1, Llc can be contacted via phone (804) 758-1311, or through Kusserow, Paul via phone (225) 292-2031.

Contact Information

Primary practice address
6606 Main St Gloucester VA 23061
Phone: (804) 758-1311
Fax: (804) 758-8817
Website:
Map and Directions
Authorized official contact:
Name: Kusserow, Paul
Phone: (225) 292-2031

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1881846087
LBN Legal business name Nine Palms 1, Llc
DBA Doing business as Brookside Home Health, An Amedisys Company
Authorized official Kusserow, Paul
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 21st, 2008
Last updated May 31st, 2018 - about 6 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 1881846087 NPPES
Virginia MEDICAID 1881846087

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