Amedisys Pennsylvania, L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

719005 Issued in PA

Legal business name

AMEDISYS PENNSYLVANIA, L.L.C.

Practice address

264 Highland Park Blvd
Suite H
Wilkes Barre, PA 18702-6768

Phone

(570) 824-0023

Fax

(570) 824-1666

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Laborde

Title

President

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amedisys Home Health Doing business as

Locations

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1336134196",
    "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": "264 HIGHLAND PARK BLVD",
            "address_2": "SUITE H",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026768",
            "telephone_number": "570-824-0023",
            "fax_number": "570-824-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS PENNSYLVANIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "LABORDE",
        "authorized_official_first_name": "RONALD",
        "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": "PA",
            "license": "719005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "232224802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "35904",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.