CCN: 111686 NPI: 1396938015 Organization

AMEDISYS HOSPICE CARE OF KENNESAW

4255 WADE GREEN RD NW BLDG 300 , SUITE 320
KENNESAW, GA 301441762

Contact Information

Phone 7704231316
Fax 7704267453
Enumeration Date 2007-08-27
Last Updated 2025-05-28

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12060

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 01