AMEDISYS MAINE PLLC NPI 1316171796

NPI Information

  • NPI: 1316171796
  • Provider Name: AMEDISYS MAINE, PLLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: AMEDISYS HOME HEALTH
  • CLIA Number: 20D1101341
  • Address: 23 WATER ST
    SUITE A
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 990-0029

Map and Directions

Get Directions

NPI Details

AMEDISYS MAINE, PLLC is a home health in Bangor, ME. 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. AMEDISYS MAINE, PLLC NPI is 1316171796. The provider is registered as an organization entity type.
The provider Is Doing Business As Amedisys Home Health.

The provider's business location address is:

23 WATER ST
SUITE A
BANGOR, ME
ZIP 04401-364
Phone: (207) 990-0029
Fax: (207) 990-0035

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 20D1101341 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 8/2/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health03114MAINENo
2251E00000XHome Health03162MAINENo
3251E00000XHome Health38079MAINEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11316171796MEDICAIDMAINE
2436317200MEDICAIDMAINE
3207075MEDICARE OSCAR/CERTIFICATIONMAINE

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI