Amedisys Georgia, LLC
Organization Active NPI Home Health Agency · Commerce, GA
NPI 1003938697 · NPPES record last updated Jul 11, 2012
Key facts
- NPI
- 1003938697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 060-246-H (GA)
- Legal business name
- AMEDISYS GEORGIA, LLC
- Practice address
- 110 Mercer PL
Commerce, GA 30529-1552 - Phone
- (706) 335-2302
- Fax
- (706) 335-2309
- NPI assigned
- Apr 4, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- AMEDISYS GEORGIA, LLC
Authorized official
- Name
- Mr. William Borne
- Title
- Ceo
- Phone
- (225) 292-2031
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Amedisys Georgia LLC
- Part of
- Amedisys Georgia LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 060-246-H | GA | Yes |
Addresses
Primary practice location
110 Mercer PL
Commerce, GA 30529-1552
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6080
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00824931B | Medicaid | GA |
Other names
- Central Home Health Care an Amedisys Company
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All providers in Commerce, GA · Home Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.