Active NPI
Amedisys California LLC
Doing business as Amedisys Home Health
- Home Health Agency
- Sonoma, CA
National Provider Identifier
1609002930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550001332
- Legal business name
- AMEDISYS CALIFORNIA LLC
- Doing business as
- Amedisys Home Health
- Practice address
- 19312 Highway 12
Suite B
Sonoma, CA 95476-5416 - Phone
- (707) 939-8535
- Fax
- (707) 939-8865
- NPI assigned
- Jun 1, 2009
- Last updated
- Feb 18, 2014
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550001332 | CA | Primary |
Addresses
Primary practice location
19312 Highway 12
Suite B
Sonoma, CA 95476-5416
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609002930 | Medicaid | CA |
Other names 1
- Amedisys Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Amedisys California LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Amedisys Home Health
- Home Health Agency
- San Luis Obispo, CA
- NPI 1518194505
Locations
19312 Highway 12
Ste B
Sonoma, CA 95476
Phone (707) 935-5345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392681600000",
"number": "1609002930",
"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": "19312 HIGHWAY 12",
"address_2": "SUITE B",
"city": "SONOMA",
"state": "CA",
"postal_code": "954765416",
"telephone_number": "707-939-8535",
"fax_number": "707-939-8865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDISYS CALIFORNIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-01",
"last_updated": "2014-02-18",
"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": "CA",
"license": "550001332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609002930",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.