Amedisys Quality Oklahoma, L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7020 Issued in OK

Legal business name

AMEDISYS QUALITY OKLAHOMA, L.L.C.

Practice address

1909 S Muskogee Ave
Suite 900
Tahlequah, OK 74464-5543

Phone

(918) 207-0108

Fax

(918) 458-1749

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Borne

Title

Ceo

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amedisys Home Health Doing business as

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1124076708",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 S MUSKOGEE AVE",
            "address_2": "SUITE 900",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645543",
            "telephone_number": "918-207-0108",
            "fax_number": "918-458-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS QUALITY OKLAHOMA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah Jay Allison, M.S. LPC-C
• Chuck Braden Alnett II
• Craig Alan Alpaugh, RPAC
• Lori Jean Alred, PHARM.D.
• Lindsey Beth Amason, BHRS
• Brittany Nicole Amlin
• Amber Dawn Anderson, CASE MANAGER
• Coralann Loraine Anderson
• Gayla Burgess Anderson
• Pamela K Anderson

• Home Health Agency in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.