NPIMap

Organization Active NPI

Amedisys South Florida, LLC

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1104133826
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992520 Issued in FL
Legal business name
AMEDISYS SOUTH FLORIDA, LLC
Practice address
1680 SE Lyngate Dr
Suite 204
Port St Lucie, FL 34952-4300
Phone
(772) 337-5117
Fax
(772) 337-6623
NPI assigned
Sep 1, 2010
Organization subpart
Yes
Parent organization
AMEDISYS SOUTH FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
William F Borne
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992520 FL Primary

Addresses

Primary practice location

1680 SE Lyngate Dr
Suite 204
Port St Lucie, FL 34952-4300

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031

Other names 1

  • Amedisys Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys South Florida LLC5 organizations share this tax ID, including this one
Part of
Amedisys South Florida LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1104133826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "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": "1680 SE LYNGATE DR",
            "address_2": "SUITE 204",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-337-5117",
            "fax_number": "772-337-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS SOUTH FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS SOUTH FLORIDA, LLC",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.