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NPI Code Detail

MEDICARE: AMEDISYS FLORIDA, LLC

MEDICARE: AMEDISYS FLORIDA, LLC
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
1251E00000XHome Health Agency299991758FL

Other Identifiers

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

General Provider Information

NPI Number : 1073738886
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMEDISYS FLORIDA, LLC
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 : 11968 BALM RIVERVIEW RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-6601
Country : US
Telephone Number : 813-677-9629
Fax Number : 813-671-9637
Authorized Official
Title or Position : PRESIDENT
Name : PAUL B KUSSEROW
Credential :
Telephone Number : 225-292-2031
Provider Enumeration Date : 04/16/2007
Last Update Date : 09/28/2016

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Directions to “AMEDISYS FLORIDA, LLC ” Practice Location

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