Organization Active NPI

Amedisys Minnesota, L.L.C.

  • Home Health Agency
  • Rochester, MN
National Provider Identifier
1376709501
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMEDISYS MINNESOTA, L.L.C.
Practice address
3428 Lakeridge PL NW
Suite 115
Rochester, MN 55901-6571
Phone
(507) 285-4407
Fax
(507) 285-4905
NPI assigned
Aug 7, 2008
Organization subpart
Yes
Parent organization
AMEDISYS MINNESOTA, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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 Primary

Addresses

Primary practice location

3428 Lakeridge PL NW
Suite 115
Rochester, MN 55901-6571

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1376709501MedicaidMN

Other names 1

  • Amedisys Home Health of Minnesota Doing business as

National Provider Directory

National Provider Directory
Part of
Amedisys Minnesota LLC

Locations

3428 Lakeridge Pl NW
Ste 115
Rochester, MN 55901
Phone (507) 282-1053

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1376709501",
    "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": "3428 LAKERIDGE PL NW",
            "address_2": "SUITE 115",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016571",
            "telephone_number": "507-285-4407",
            "fax_number": "507-285-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MINNESOTA, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS MINNESOTA, L.L.C.",
        "enumeration_date": "2008-08-07",
        "last_updated": "2010-08-16",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376709501",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.