Organization Active NPI

Amedisys SP-TN, LLC

Doing business as Amedisys Home Health Services

  • Home Health Agency
  • Goodlettsville, TN
National Provider Identifier
1356399752
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000068 Issued in TN
Legal business name
AMEDISYS SP-TN, LLC
Doing business as
Amedisys Home Health Services
Beacon Home Health
Practice address
900 Conference Dr
Suite 1a
Goodlettsville, TN 37072-1923
Phone
(615) 851-3881
Fax
(615) 851-3896
NPI assigned
May 5, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000000068 TN Primary

Addresses

Primary practice location

900 Conference Dr
Suite 1a
Goodlettsville, TN 37072-1923

Mailing address

900 Conference Dr Ste 1a
Goodlettsville, TN 37072-1925
Phone (615) 851-3881

Other identifiers 1

IdentifierTypeStateIssuer
044-7558MedicaidTN

Other names 2

  • Amedisys Home Health Services Doing business as
  • Beacon Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051005001118 TN Part A Provider - Home Health Agency 7911922208 Practice locations: Goodlettsville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356399752. Details of each certification follow.

Home health agency certification: CCN 447558

Legal name
AMEDISYS SP-TN, LLC
Doing business as
BEACON HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 2, 2000
Last certification
Sep 27, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 25, 2005 in KY
Enrollment address
900 Conference Dr
Ste 1a
Goodlettsville, TN 37072-1925
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Beacon Home HealthCCN 447558 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 2, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0971407Amedisys SP-TN LLC900 Conference Drive, Ste 1a, Goodlettsville, TN 37072Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

900 Conference Dr
Ste 1A
Goodlettsville, TN 37072
Phone (615) 851-3881

5114 Old Hickory Blvd
Ste 206
Hermitage, TN 37076
Phone (615) 883-9040

230 Cumberland Bnd
Ste D2
Nashville, TN 37228
Phone (615) 313-9387

2525 Perimeter Place Dr
Ste 135
Nashville, TN 37214
Phone (615) 883-9040

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2025 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Christopher Boettcher Individual W-2 Managing EmployeeAd; Jan 1, 2026
Brent Guerisoli Individual Corporate DirectorDirector Oct 1, 2025
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2025 100%
John J Gochnour Individual Corporate OfficerPresident/Manager Oct 1, 2025
Amber Tueller Individual Corporate OfficerSecretary Oct 1, 2025
Elliot McMillan Individual Corporate OfficerVice President Oct 1, 2025

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 29

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1356399752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CONFERENCE DR STE 1A",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721925",
            "telephone_number": "615-851-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CONFERENCE DR",
            "address_2": "SUITE 1A",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721923",
            "telephone_number": "615-851-3881",
            "fax_number": "615-851-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS SP-TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044-7558",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.