Active NPI
Amedisys Texas, LTD.
Doing business as Amedisys Home Health of Wichita Falls
- Home Health Agency
- Wichita Falls, TX
National Provider Identifier
1174612766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PENDING
- Legal business name
- AMEDISYS TEXAS, LTD.
- Doing business as
- Amedisys Home Health of Wichita Falls
- Practice address
- 3709 Gregory St
Suite 106
Wichita Falls, TX 76308-1624 - Phone
- (940) 696-6412
- Fax
- (940) 696-5381
- NPI assigned
- Oct 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Ray Graham
- Title
- President
- Phone
- (225) 292-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PENDING | TX | Primary |
Addresses
Primary practice location
3709 Gregory St
Suite 106
Wichita Falls, TX 76308-1624
Mailing address
11100 Mead Rd
Baton Rouge, LA 70816-2260
Phone (225) 298-3548
Other names 1
- Amedisys Home Health of Wichita Falls
National Provider Directory
National Provider Directory- Tax ID family
- Amedisys Texas LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
Locations
11100 Mead Rd
Baton Rouge, LA 70816
3709 Gregory St
Ste 106
Wichita Falls, TX 76308
Phone (940) 696-6412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174612766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 MEAD RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708162260",
"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": "3709 GREGORY ST",
"address_2": "SUITE 106",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763081624",
"telephone_number": "940-696-6412",
"fax_number": "940-696-5381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDISYS TEXAS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-292-2031",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health of Wichita Falls",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.