NPIMap

Organization Active NPI

Amedisys Pennsylvania, L.L.C.

Doing business as Amedisys Home Health

  • Home Health Agency
  • Olyphant, PA
National Provider Identifier
1497068670
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 PENNSYLVANIA, L.L.C.
Doing business as
Amedisys Home Health
Practice address
1444 E Lackawanna St
Suite 103
Olyphant, PA 18447-2174
Phone
(570) 383-7016
Fax
(570) 383-7081
NPI assigned
Jul 16, 2010
Last updated
Aug 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS PENNSYLVANIA, 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
William F. Borne
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1444 E Lackawanna St
Suite 103
Olyphant, PA 18447-2174

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 295-9693

Other identifiers 1

IdentifierTypeStateIssuer
102041856 0012MedicaidPA

Other names 1

  • Amedisys Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Pennsylvania LLC8 organizations share this tax ID, including this one
Part of
Amedisys Pennsylvania LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1444 E Lackawanna St
Ste 103
Olyphant, PA 18447
Phone (570) 383-7016

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1497068670",
    "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": "225-295-9693",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 E LACKAWANNA ST",
            "address_2": "SUITE 103",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184472174",
            "telephone_number": "570-383-7016",
            "fax_number": "570-383-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS PENNSYLVANIA, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS PENNSYLVANIA, L.L.C.",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102041856 0012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olyphant, PA

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.