Organization Active NPI

Amedisys Illinois, L.L.C.

Doing business as Amedisys Home Health

  • Home Health Agency
  • Joliet, IL
National Provider Identifier
1215192034
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMEDISYS ILLINOIS, L.L.C.
Doing business as
Amedisys Home Health
Practice address
2400 Glenwood Ave
Suite 205
Joliet, IL 60435-5474
Phone
(815) 741-9840
Fax
(815) 741-9844
NPI assigned
Jul 21, 2008
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS ILLINOIS, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

2400 Glenwood Ave
Suite 205
Joliet, IL 60435-5474

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 298-3548

Other names 1

  • Amedisys Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Illinois LLC9 organizations share this tax ID, including this one
Part of
Amedisys Illinois LLC

Other organizations with this tax ID 8

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": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1215192034",
    "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": "225-298-3548",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE",
            "address_2": "SUITE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355474",
            "telephone_number": "815-741-9840",
            "fax_number": "815-741-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS ILLINOIS, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS ILLINOIS, L.L.C.",
        "enumeration_date": "2008-07-21",
        "last_updated": "2010-06-10",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.