Amedisys Utah LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMEDISYS UTAH LLC

Practice address

107 S 1470 E Ste 203
St George, UT 84790-1754

Phone

(435) 673-9999

Fax

(435) 673-4518

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Amedisys Home Health of St George Doing business as

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1417199720",
    "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": "107 S 1470 E STE 203",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901754",
            "telephone_number": "435-673-9999",
            "fax_number": "435-673-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-10-20",
        "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": "1417199720",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of St George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Alvarez
• Esperanza Alvarez
• Mackenzie Alvarez
• Jackie Bell Amaki, NP
• Amara Health and Wellness Center LLC
• American Logistics, LLC.
• American Medical Rehab
• Ames Eyecare, Inc.
• Derek Busenbark Ames, O.D.
• Amh Series II Ut, LLC

• All providers in St George, UT
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.