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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 436317200 | 05 | |
ME | 1316171796 | 05 |
Other Name | Type Code |
---|---|
Amedisys Home Health | Doing Business As Name - Organization |
Street Address |
23 WATER ST SUITE A |
City | BANGOR |
State | ME |
Zip Code | 04401-6364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033206008 | Terri L. Lewis | Social Worker | 23 Water St, Suite 205, Bangor, ME 04401-6364 | 2006-10-09 |
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 |
Find all providers in zip 04401 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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] |
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 |
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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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.