NPIMap

Organization Active NPI

Amedisys SP-in, .L.L.C.

Doing business as Amedisys Home Health of Muncie

  • Home Health Agency
  • Muncie, IN
National Provider Identifier
1275725186
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05-005377-1 Issued in IN
Legal business name
AMEDISYS SP-IN, .L.L.C.
Doing business as
Amedisys Home Health of Muncie
Practice address
3520 W Fox Ridge LN
Muncie, IN 47304-5205
Phone
(765) 254-1710
Fax
(765) 254-1721
NPI assigned
Aug 14, 2007
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS SP-IN, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 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 05-005377-1 IN Primary

Addresses

Primary practice location

3520 W Fox Ridge LN
Muncie, IN 47304-5205

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
200806720BMedicaidIN

Other names 1

  • Amedisys Home Health of Muncie Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys SP-in LLC8 organizations share this tax ID, including this one
Part of
Amedisys SP-in LLC

Other organizations with this tax ID 7

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1275725186",
    "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": "3520 W FOX RIDGE LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045205",
            "telephone_number": "765-254-1710",
            "fax_number": "765-254-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS SP-IN, .L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS SP-IN, L.L.C.",
        "enumeration_date": "2007-08-14",
        "last_updated": "2009-10-29",
        "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": "IN",
            "license": "05-005377-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200806720B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Muncie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.