NPIMap

Organization Active NPI

Amedisys Home Health Inc of Virginia

  • Home Health Agency
  • Clintwood, VA
National Provider Identifier
1164547964
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
EXEMPT
Legal business name
AMEDISYS HOME HEALTH INC OF VIRGINIA
Practice address
909 West Main Street
Suite B
Clintwood, VA 24228-2130
Phone
(276) 926-5634
Fax
(276) 926-5639
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X EXEMPT Primary

Addresses

Primary practice location

909 West Main Street
Suite B
Clintwood, VA 24228-2130

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6080
Phone (225) 298-3548

Other identifiers 1

IdentifierTypeStateIssuer
010239427MedicaidVA

Other names 1

  • Amedisys Home health of Clintwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Home Health of Virginia LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1164547964",
    "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": "708166080",
            "telephone_number": "225-298-3548",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WEST MAIN STREET",
            "address_2": "SUITE B",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242282130",
            "telephone_number": "276-926-5634",
            "fax_number": "276-926-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOME HEALTH INC OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-10-08",
        "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": null,
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010239427",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home health of Clintwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clintwood, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.