Amedisys SP-in, L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMEDISYS SP-IN, L.L.C.

Practice address

4009 S Western Ave
Marion, IN 46953-4904

Phone

(765) 674-9300

Fax

(765) 674-9302

NPI assigned

Jun 14, 2007

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 Marion Doing business as

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Amedisys SP-in, LLC

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1437103199

  O20060725000188

  Same enrollment

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Frank Adjei, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1104002765

  Home health agency

  Care Compare affiliation
• Dinesh Agnihotri, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1932186723

  Home health agency

  Care Compare affiliation
• Michael E Ainsworth, MD

  • Family Medicine Physician
  • Decatur, IN
  • NPI 1629058698

  Home health agency

  Care Compare affiliation
• Kimberly Albright

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1871091686

  Home health agency

  Care Compare affiliation
• Jacqueline Anders, FNP

  • Family Nurse Practitioner
  • North Webster, IN
  • NPI 1881075877

  Home health agency

  Care Compare affiliation
• Alec Arturi, DO

  • Family Medicine Physician
  • Monroe, IN
  • NPI 1063901551

  Home health agency

  Care Compare affiliation
• Ryan Bean, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1962939165

  Home health agency

  Care Compare affiliation
• James Beitzel, MD

  • Family Medicine Physician
  • Columbia City, IN
  • NPI 1912901851

  Home health agency

  Care Compare affiliation
• Gary Berube, M.D.

  • Family Medicine Physician
  • Columbia City, IN
  • NPI 1881678696

  Home health agency

  Care Compare affiliation
• Elizabeth N Brauchla, M.D.

  • Family Medicine Physician
  • Warsaw, IN
  • NPI 1649561655

  Home health agency

  Care Compare affiliation
• Julie Bryan, M.D.

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1063496644

  Home health agency

  Care Compare affiliation
• Emmanuel C. Cabe, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1215928791

  Home health agency

  Care Compare affiliation

Listed as

Adoration Home HealthCCN 157583

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Dec 21, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Home health agency certification: CCN 157583

Legal name

AMEDISYS SP-IN, L.L.C.

Doing business as

ADORATION HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 21, 2006

Last certification

Sep 17, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 25, 2005 in IN

Enrollment address

2200 Lake Avenue
Suite 150
Fort Wayne, IN 46805-5347

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1497959142",
    "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": "708166080",
            "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": "4009 S WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534904",
            "telephone_number": "765-674-9300",
            "fax_number": "765-674-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS SP-IN, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2009-10-29",
        "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": "200841710B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Marion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Marion, IN
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.