AMEDISYS WISCONSIN LLC (NPI# 1467602847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467602847 |
| Entity Type | Organization |
| Organization Name | AMEDISYS WISCONSIN LLC |
| Other Organization Name | AMEDISYS HOME HEALTH |
| Practice Address |
2120 S Ridge Rd Green Bay WI 54304-4327 |
| Mailing Address |
3854 American Way Suite A Baton Rouge LA 70816-4013 |
| Practice Telephone | 9204971234 |
| Practice Fax Number | 9204971236 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MR. PAUL KUSSEROW (PRESIDENT) |
| Authorized Official Telephone | 2252922031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1170 | WI | Agencies |
| Other Name | Type Code |
|---|---|
| Amedisys Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366779050 | Amedisys Wisconsin LLC | Home Health | 145 E Badger Rd, Suite 201, Madison, WI 53713-2708 | 2009-11-17 |
| 1457597346 | Amedisys Wisconsin LLC | Home Health | 1110 North Old World 3rd Street, Suite 207, Milwaukee, WI 53203-1117 | 2008-12-23 |
| Street Address |
2120 S RIDGE RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1871112003 | Daquet Reed | Home Health | 1345 W Mason St Ste 202, Green Bay, WI 54303-2049 | 2020-04-08 |
| 1972133023 | Deborah Shealey | Home Health | 4179 Indian Spring Rd, Green Bay, VA 23942-2516 | 2020-01-16 |
| 1245779743 | Ohana Home Care Agency, LLC | Home Health | 1600 S Ashland Ave Ste 203, Green Bay, WI 54304-3690 | 2017-02-16 |
| 1356798375 | Hha of Wisconsin, LLC | Home Health | 2100 Riverside Dr Ste 103, Green Bay, WI 54301-2375 | 2016-05-19 |
| 1013300060 | Pas De Deux LLC | Home Health | 200 Arbor Ln, Green Bay, WI 54301-1604 | 2015-03-16 |
| 1730443565 | Njcare, Inc. | Home Health | 1133 Moraine Way, Suite # 4, Green Bay, WI 54303-9412 | 2012-06-26 |
| 1952688426 | Wisconsin Home Health Care, LLC | Home Health | 840 Challenger Dr Ste 161, Green Bay, WI 54311-8351 | 2011-11-10 |
| 1417161316 | Interim Healthcare of Ne Wi Inc | Home Health | 2551 Continental Ct, Ste 2, Green Bay, WI 54311-6090 | 2007-05-09 |
| 1679556526 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Home Health | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2005-11-23 |
| 1255795845 | Saha Cares | Home Health | 1845 Velp Ave, Suite F, Green Bay, WI 54303-6594 | 2016-04-08 |
| Find all providers in GREEN BAY | ||||
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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.