Amedisys Georgia, L.L.C.
Organization Active NPI Home Health Agency · Hamilton, GA
NPI 1104061159 · NPPES record last updated Jul 11, 2012
Key facts
- NPI
- 1104061159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 11243H (GA)
- Legal business name
- AMEDISYS GEORGIA, L.L.C.
- Practice address
- 159 S College St
Hamilton, GA 31811-5306 - Phone
- (706) 628-4622
- Fax
- (706) 628-9159
- NPI assigned
- Dec 4, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- AMEDISYS GEORGIA, L.L.C.
Authorized official
- Name
- Mr. William Borne
- Title
- Ceo
- Phone
- (225) 292-2031
Corporate family (same tax ID) 19
Practitioners 1
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 | 11243H | GA | Yes |
Addresses
Primary practice location
159 S College St
Hamilton, GA 31811-5306
Mailing address
5959 South Sherwood Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000827802E | Medicaid | GA |
Other names
- Amedisys Home Health of Hamilton
Other providers in Hamilton, GA
All providers in Hamilton, 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.