Amedisys Indiana, L.L.C

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

12-010149-1 Issued in IN

Legal business name

AMEDISYS INDIANA, L.L.C

Doing business as

Amedisys Home Health

Practice address

1638 E Day Rd
Mishawaka, IN 46545-3469

Phone

(574) 252-0409

Fax

(574) 252-0953

NPI assigned

Apr 22, 2009

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

AMEDISYS INDIANA, L.L.C.As reported in NPPES

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 2

Addresses

Other identifiers 1

Other names 1

• Amedisys Home Health Doing business as

Tax ID family

Amedisys Indiana LLC3 organizations share this tax ID, including this one

Part of

Amedisys Indiana LLC

Other organizations with this tax ID 2

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

• Amedisys Indiana, L.L.C.

  dba Amedisys Home Health of Chesterton

  • Home Health Agency
  • Chesterton, IN
  • NPI 1861639569
  NPD tax ID
• Amedisys Indiana, LLC

  dba Amedisys Home Health of Munster

  • Home Health Agency
  • Munster, IN
  • NPI 1124180609
  NPD tax ID

Locations

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1306080395",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453469",
            "telephone_number": "574-252-0409",
            "fax_number": "574-252-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS INDIANA, L.L.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS INDIANA, L.L.C.",
        "enumeration_date": "2009-04-22",
        "last_updated": "2013-01-22",
        "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": "090101491",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "12-010149-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200914990B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.