NPIMap

Organization Active NPI

Amedisys California LLC

Doing business as Amedisys Home Health

  • Home Health Agency
  • Stockton, CA
National Provider Identifier
1588979264
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMEDISYS CALIFORNIA LLC
Doing business as
Amedisys Home Health
Practice address
10100 Trinity Pkwy
Suite 410
Stockton, CA 95219-7238
Phone
(209) 478-8040
Fax
(209) 478-8049
NPI assigned
Aug 18, 2010
Last updated
Apr 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
William F Borne, CEO
Title
Chief Executive Officer
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

10100 Trinity Pkwy
Suite 410
Stockton, CA 95219-7238

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
1588979264MedicaidCA

Other names 1

  • Amedisys Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys California LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

10100 Trinity Pkwy
Ste 410
Stockton, CA 95219
Phone (209) 478-8040

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1588979264",
    "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": "10100 TRINITY PKWY",
            "address_2": "SUITE 410",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197238",
            "telephone_number": "209-478-8040",
            "fax_number": "209-478-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588979264",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.