Amedisys Pennsylvania, L.L.C.
Organization Active NPI Home Health Agency · Olyphant, PA
NPI 1497068670 · NPPES record last updated Aug 16, 2010
Key facts
- NPI
- 1497068670
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AMEDISYS PENNSYLVANIA, L.L.C.
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- AMEDISYS PENNSYLVANIA, L.L.C.
Authorized official
- Name
- William F. Borne
- Title
- President
- Phone
- (225) 292-2031
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Amedisys Pennsylvania LLC
- Part of
- Amedisys Pennsylvania LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102041856 0012 | Medicaid | PA |
Other names
- Amedisys Home Health
Other providers in Olyphant, PA
All providers in Olyphant, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.