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AMEDISYS HOSPICE LLC NPI 1649271016


NPI Information

NPI: 1649271016
Provider Name: AMEDISYS HOSPICE, LLC

Doing Business As: AMEDISYS HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 19D2056975

Address:
4017 COMMON ST
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 562-3200
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AMEDISYS HOSPICE, LLC is a hospice care community based in Lake Charles, LA. AMEDISYS HOSPICE, LLC NPI is 1649271016. The provider is registered as an organization entity type.
The provider Is Doing Business As Amedisys Hospice.

The provider's business location address is:

4017 COMMON ST
LAKE CHARLES, LA
ZIP 70607-942
Phone: (337) 562-3200
Fax: (337) 478-9501

The provider's authorized official is Paul B Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 19D2056975 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 10/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedNo
2251G00000XHospice Care, Community Based2203781123LOUISIANANo
3251G00000XHospice Care, Community Based2203781671LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1191534MEDICARE OSCAR/CERTIFICATION
21580732MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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