Amedisys Home Health Of Vicksburg

LBN: Amedisys Mississippi, Llc
Amedisys Home Health Of Vicksburg is an health care organization with primary practice located at 2080 S Frontage Rd Suite 105, Vicksburg MS 39180-5328. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Amedisys Mississippi, Llc can be contacted via phone (601) 619-3670, or through Kusserow, Paul B via phone (225) 292-2031.

Contact Information

Primary practice address
2080 S Frontage Rd Suite 105 Vicksburg MS 39180-5328
Phone: (601) 619-3670
Fax: (601) 619-3672
Website:
Map and Directions
Authorized official contact:
Name: Kusserow, Paul B
Phone: (225) 292-2031

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 7394 Mississippi

Profile Details

NPI number 1245288943
LBN Legal business name Amedisys Mississippi, Llc
DBA Doing business as Amedisys Home Health Of Vicksburg
Authorized official Kusserow, Paul B
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Sep 29th, 2016 - about 10 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 1245288943 NPPES
Mississippi MEDICAID 00770548

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