Basic Information
| Provider Information | |||||||||
| NPI: | 1326230251 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | AMEDISYS NEW HAMPSHIRE, L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3854 AMERICAN WAY | ||||||||
| Address2: | SUITE A | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708164013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252922031 | ||||||||
| FaxNumber: | 2252959678 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 NEW HAMPSHIRE AVE | ||||||||
| Address2: | SUITE 270 | ||||||||
| City: | PORTSMOUTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038012841 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034360815 | ||||||||
| FaxNumber: | 6034315457 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2007 | ||||||||
| LastUpdateDate: | 04/18/2018 | ||||||||
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| AuthorizedOfficialLastName: | KUSSEROW | ||||||||
| AuthorizedOfficialFirstName: | PAUL | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2252953548 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 03147 | ME | N | Agencies | Home Health | 251E00000X | 38023 | NH | N | Agencies | Home Health | 251E00000X | 38240 | ME | N | Agencies | Home Health | 251E00000X | 03314 | NH | N | Agencies | Home Health | 251E00000X | 38912 | NH | N | Agencies | Home Health | 251E00000X | 038912 | NH | Y | Agencies | Home Health |
No ID Information.