Organization Name: | AMEDISYS NEW JERSEY, L.L.C. |
NPI Number: | 1033216338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL B KUSSEROW (PRESIDENT) |
Mailing Address: | 21 Main St Suite 253 Hackensack |
State: | NJ US |
Postal Code: | 076017054 |
Phone Number: | 2013427766 |
Fax Number: | 2014871982 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 02C001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |