Amedisys Alaska, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMEDISYS ALASKA, LLC

Practice address

892 E USA Cir
Suite 102
Wasilla, AK 99654-7188

Phone

(907) 376-7783

Fax

(907) 376-7784

NPI assigned

Mar 25, 2010

Organization subpart

Yes

Parent organization

AMEDISYS ALASKA, LLCAs reported in NPPES

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

Authorized official

Name

William Borne

Title

President

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amedisys Hospice Doing business as

Tax ID family

Amedisys Alaska LLC2 organizations share this tax ID, including this one

Part of

Amedisys Alaska LLC

Other organizations with this tax ID 1

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

• Amedisys Alaska, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1750605978
  NPD tax ID

Locations

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1174847743",
    "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": "892 E USA CIR",
            "address_2": "SUITE 102",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547188",
            "telephone_number": "907-376-7783",
            "fax_number": "907-376-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS ALASKA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS ALASKA, LLC",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HP0002",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cecilia Anastasia
• Anchorage Community Mental Health Services Inc.
• Anchorage Community Mental Health Services Inc.

• All providers in Wasilla, AK
• Community Based Hospice Care Agency in Alaska

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