Organization Active NPI

Amedisys Arizona, L.L.C.

Doing business as Arizona Home Rehabilitation and Health Care, an Amedisys Company

  • Home Health Agency
  • Yuma, AZ
National Provider Identifier
1437228509
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA4585 Issued in AZ
Legal business name
AMEDISYS ARIZONA, L.L.C.
Doing business as
Arizona Home Rehabilitation and Health Care, an Amedisys Company
Practice address
1841 W 25TH St
Suite a-1
Yuma, AZ 85364-6910
Phone
(928) 344-1701
Fax
(928) 344-1702
NPI assigned
Nov 6, 2006
Last updated
Oct 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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 HHA4585 AZ Primary

Addresses

Primary practice location

1841 W 25TH St
Suite a-1
Yuma, AZ 85364-6910

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0702480OtherAZBLUE CROSS BLUE SHIELD AZ
705618MedicaidAZ

Other names 1

  • Arizona Home Rehabilitation and Health Care, an Amedisys Company Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2281 W 24th St
Ste 6
Yuma, AZ 85364
Phone (520) 341-1200

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1437228509",
    "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": "1841 W 25TH ST",
            "address_2": "SUITE A-1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646910",
            "telephone_number": "928-344-1701",
            "fax_number": "928-344-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS ARIZONA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-10-12",
        "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": "AZ",
            "license": "HHA4585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "0702480",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Home Rehabilitation and Health Care, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.