Amedisys West Virginia, L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

16 Issued in WV

Legal business name

AMEDISYS WEST VIRGINIA, L.L.C.

Practice address

RR 2 Box 54B
Buckeye, WV 24924-9641

Phone

(304) 799-7488

Fax

(304) 799-2348

NPI assigned

Sep 14, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William F Borne

Title

President

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Amedisys Home Health Care Doing business as

Member of 1

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

• Pocahontas County Commission

  • Ambulance
  • Marlinton, WV
  • NPI 1285330399

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1497740690",
    "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": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 54B",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249641",
            "telephone_number": "304-799-7488",
            "fax_number": "304-799-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS WEST VIRGINIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-04-19",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMP PROVIDER ID",
            "identifier": "1041924",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019822",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROVIDER ID",
            "identifier": "320838",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001105003",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "001703870",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaac G Alexis, MD
• Diane Arbogast
• Ehab Awad, PA-C
• John D. Borgens, LCSW
• Kathleen Brown, RD, LD
• Kandi Hall Broyles

• Home Health Agency in Buckeye, WV
• Providers in Buckeye, WV by specialty
• Home Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.