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ACCUMED HOME HEALTH OF GEORGIA LLC NPI 1003861824


NPI Information

NPI: 1003861824
Provider Name: ACCUMED HOME HEALTH OF GEORGIA LLC

Doing Business As: COMMUNITY HOME HEALTH, AN AMEDISYS COMPANY

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 11D1000475

Address:
400 CHURCHILL CT
STE 440
WOODSTOCK, GA
ZIP 30188
Phone: (770) 926-9525
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ACCUMED HOME HEALTH OF GEORGIA LLC is a home health in Woodstock, GA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. ACCUMED HOME HEALTH OF GEORGIA LLC NPI is 1003861824. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Home Health, An Amedisys Company.

The provider's business location address is:

400 CHURCHILL CT
STE 440
WOODSTOCK, GA
ZIP 30188-837
Phone: (770) 926-9525
Fax: (770) 926-9581

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 11D1000475 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 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
1251E00000XHome Health033263GEORGIAYes

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
151863111001OTHERGEORGIABC BS FEDERAL
2=========OTHERGEORGIABS BS OF VA ANTHEM
3=========OTHERGEORGIAUNITED HEALTHCARE
4=========OTHERGEORGIAAETNA US HEALTHCARE
551862895001OTHERGEORGIABC BS FEDERAL
6=========OTHERGEORGIAGENTIVA CARE CENTRIX
7000964708FMEDICAIDGEORGIA
8=========OTHERGEORGIACORAM HEALTHCARE
9117130MEDICARE OSCAR/CERTIFICATIONGEORGIA
10=========OTHERGEORGIACOVENTRY HEALTH CARE
1151863111002OTHERGEORGIABCBS FED
1252002394OTHERGEORGIABC BS OF GA
13=========OTHERGEORGIACORESOURCE
14=========OTHERGEORGIAHARTFORD INSURANCE
15=========OTHERGEORGIAGROUP RESOURCES
16=========OTHERGEORGIASOUTHCARE
17117130OTHERGEORGIAHUMANA
1852002394001OTHERGEORGIABCBS FED
19=========OTHERGEORGIACOVENANT ADMINISTRATORS

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: 11/14/2023

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