Amedisys Georgia LLC
Organization Active NPI Home Health Agency · Lagrange, GA
NPI 1497972897 · NPPES record last updated Jul 11, 2012
Key facts
- NPI
- 1497972897
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 048-241-H (GA)
- Legal business name
- AMEDISYS GEORGIA LLC
- Practice address
- 300 W Broome St
Ste 108
Lagrange, GA 30240-3177 - Phone
- (706) 812-9292
- Fax
- (706) 812-9286
- NPI assigned
- Apr 19, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- AMEDISYS GEORGIA LLC
Authorized official
- Name
- Mr. William Borne
- Title
- Ceo
- Phone
- (225) 292-2031
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Amedisys Georgia LLC
- Part of
- Amedisys Georgia LLC
Locations
300 W Broome St
Ste 108
Lagrange, GA 30240
Phone (706) 812-9292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 048-241-H | GA | Yes |
Addresses
Primary practice location
300 W Broome St
Ste 108
Lagrange, GA 30240-3177
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6080
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00824942C | Medicaid | GA |
Other names
- Central Home Health Care an Amedisys Company
Other providers in Lagrange, GA
- Phylllis Allen
- Robin Alligood
- Joseph Morris Almand Jr.
- Abdallah Yousef Suleiman Almegdadi
- Madelyn Almonte
- American Dental of Lagrange, LLC
- Mohd Khairul Anam
- Kayla Anderson
- Andre D. Feria MD PC
- John Scott Andrews
All providers in Lagrange, GA · Home Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2012. 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.