Organization Active NPI

Amedisys Home Health, Inc. of Virginia

  • Home Health Agency
  • Annandale, VA
National Provider Identifier
1689622011
Registry record updated Oct 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PENDING Issued in VA
Legal business name
AMEDISYS HOME HEALTH, INC. OF VIRGINIA
Doing business as
Amedisys Home Health of Annandale
Practice address
7857 Heritage Dr
Suite 200
Annandale, VA 22003-5350
Phone
(703) 658-5026
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PENDING VA Primary

Addresses

Primary practice location

7857 Heritage Dr
Suite 200
Annandale, VA 22003-5350

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 298-3548

Other identifiers 1

IdentifierTypeStateIssuer
1689622011MedicaidVA

Other names 1

  • Amedisys Home Health of Annandale Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254614400000",
    "number": "1689622011",
    "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": "225-298-3548",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7857 HERITAGE DR",
            "address_2": "SUITE 200",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035350",
            "telephone_number": "703-658-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOME HEALTH, INC. OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-10-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689622011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Annandale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.