Amedisys Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMEDISYS HOSPICE, LLC

Doing business as

AseraCare Hospice, an Amedisys Company

Practice address

12565 W Center Rd Ste 110
Omaha, NE 68144-3802

Phone

(402) 930-4067

Fax

(402) 930-4066

NPI assigned

Sep 13, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Travis B. Miglicco

Title

VP Tax

Phone

(225) 299-3803

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AseraCare Hospice, an Amedisys Company Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1003801200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 W CENTER RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443802",
            "telephone_number": "402-930-4067",
            "fax_number": "402-930-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "MIGLICCO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VP TAX",
        "authorized_official_telephone_number": "225-299-3803"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA HOSPICE LICENSE",
            "identifier": "25",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AseraCare Hospice, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angelo Amegan

• Community Based Hospice Care Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• Community Based Hospice Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.