AMEDISYS MAINE, PLLC


Address: 23 Water St, Suite A, Bangor, ME 04401-6364
Phone: 2079900029

AMEDISYS MAINE, PLLC (NPI# 1316171796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316171796
Entity Type Organization
Organization Name AMEDISYS MAINE, PLLC
Other Organization Name AMEDISYS HOME HEALTH
Practice Address 23 Water St
Suite A
Bangor
ME 04401-6364
Mailing Address 3854 American Way
Suite A
Baton Rouge
LA 70816-4013
Practice Telephone 2079900029
Practice Fax Number 2079900035
Mailing Telephone 2252922031
Enumeration Date 2009-05-13
Last Update Date 2016-08-02
Authorized Official Name MR. PAUL B KUSSEROW (PRESIDENT)
Authorized Official Telephone 2252922031
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251E00000X Home Health 03114 ME Agencies
N 251E00000X Home Health 03162 ME Agencies
Y 251E00000X Home Health 38079 ME Agencies

Other Provider Identifier

State Issuer Identifier Type Code
ME 436317200 05
ME 1316171796 05

Other Provider/Organization Names

Other Name Type Code
Amedisys Home Health Doing Business As Name - Organization

Office Location

Street Address 23 WATER ST
SUITE A
City BANGOR
State ME
Zip Code 04401-6364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033206008 Terri L. Lewis Social Worker 23 Water St, Suite 205, Bangor, ME 04401-6364 2006-10-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982638771 Gentiva Certified Healthcare Corp. Home Health 175 Exchange St, Suite 100, Bangor, ME 04401-6537 2006-07-10
1134152945 New England Home Health Care Home Health 412 State St, Bangor, ME 04401-6611 2006-07-08
1598137754 Vna Home Health & Hospice Home Health 885 Union St, Suite 220, Bangor, ME 04401 2015-10-28
1013252436 Comforting Choices Home Health 263 State St, Suite 30 Box 1, Bangor, ME 04401-5435 2012-12-11
1508110271 Penquis C.a.p., Inc. Home Health 262 Harlow St, Bangor, ME 04401-4952 2012-11-02
1740519057 Mas Medical Staffing Corporation Home Health 30 Summer St, Suite 5, Bangor, ME 04401-6467 2009-12-15
1588720866 Community Health and Counseling Services Home Health 42 Cedar St, Bangor, ME 04402-0425 2006-12-29
1164475281 Eastern Maine Homecare Home Health 885 Union St, Suite 220, Bangor, ME 04401-3083 2006-05-18
1528045887 Slate Belt Visiting Nurses, Inc. Home Health 269 Blue Valley Dr, Bangor, PA 18013-1512 2005-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013514926 Strive Home Care LLC Home Health 145 Lisbon St Ste 402, Lewiston, ME 04240-7235 2020-10-04
1467067496 Generosity Residential Service LLC Home Health 418 Turner St, Auburn, ME 04210-6024 2020-09-15
1033724083 Supreme Choice Home Healthcare, LLC Home Health 52 Teri Cir Apt 136, Westbrook, ME 04092-3983 2020-09-15
1215549308 Saveplus Home Care Services Home Health 640 Brighton Ave Ste 6, Portland, ME 04102-1047 2020-08-19
1164031688 Nova House LLC Home Health 313 Stevens Ave, Portland, ME 04103-2632 2020-07-30
1699398859 Home Sweet Home Care, LLC Home Health 47 Delaware Ave, South Portland, ME 04106-5916 2020-05-22
1730715509 The Ultimate Homecare Home Health 23 North St Apt A, Westbrook, ME 04092-3780 2020-03-12
1083249015 Constellation Home Care Me, LLC Home Health 395 Sabattus St, Lewiston, ME 04240-5429 2020-03-10
1578109104 Silver Lining Home Health Care Home Health 521 Laurel Way, Hermon, ME 04401-0256 2019-11-19
1932742111 Northeast Transit LLC Home Health 525 Forest Ave, Portland, ME 04101-1503 2019-10-21
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Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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