MEDICARE: ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	154499	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467773820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.

Provider Business Mailing Address
First Line	:	3854 AMERICAN WAY
Second Line	:	SUITE A
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4013
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	2183 MCCLELLANDTOWN ROAD
Second Line	:
City	:	MASONTOWN
State	:	PA
Zip	:	15461-2593
Country	:	US
Telephone Number	:	724-583-2680
Fax Number	:	784-583-2685

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL B KUSSEROW
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	09/20/2016

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