NPIMap

Organization Active NPI

Amedisys Missouri, LLC

Doing business as Amedisys Home Health of Missouri

  • Home Health Agency
  • Bridgeton, MO
National Provider Identifier
1679809123
Registry record updated Oct 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
786-2HH Issued in MO
Legal business name
AMEDISYS MISSOURI, LLC
Doing business as
Amedisys Home Health of Missouri
Practice address
3751 Pennridge Dr
Suite 119
Bridgeton, MO 63044-1244
Phone
(314) 291-4900
Fax
(314) 291-4910
NPI assigned
Oct 18, 2009
Last updated
Oct 18, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS MISSOURI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2009

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

Authorized official

Name
William F Borne
Title
Ceo
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 786-2HH MO Primary

Addresses

Primary practice location

3751 Pennridge Dr
Suite 119
Bridgeton, MO 63044-1244

Mailing address

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

Other names 1

  • Amedisys Home Health of Missouri Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Missouri LLC7 organizations share this tax ID, including this one
Part of
Amedisys Missouri LLC

Other organizations with this tax ID 6

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

Locations

3751 Pennridge Dr
Ste 119
Bridgeton, MO 63044
Phone (314) 239-2728

NPI Registry JSON

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255824000000",
    "number": "1679809123",
    "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": "3751 PENNRIDGE DR",
            "address_2": "SUITE 119",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441244",
            "telephone_number": "314-291-4900",
            "fax_number": "314-291-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MISSOURI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS MISSOURI, LLC",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "786-2HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; 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.