NPIMap

Organization Active NPI

Amedisys Mississippi, LLC

  • Home Health Agency
  • Laurel, MS
National Provider Identifier
1790017481
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2381 Issued in MS
Legal business name
AMEDISYS MISSISSIPPI, LLC
Practice address
512 N 13TH Ave
Laurel, MS 39440-3825
Phone
(601) 649-0523
Fax
(601) 649-9254
NPI assigned
Feb 4, 2010
Organization subpart
Yes
Parent organization
AMEDISYS MISSISSIPPI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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 2381 MS Primary

Addresses

Primary practice location

512 N 13TH Ave
Laurel, MS 39440-3825

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
01983097OtherMSHOMEMAKER SERVICES
00070587MedicaidMS

Other names 1

  • Amedisys Home Health of Laurel Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Mississippi LLC12 organizations share this tax ID, including this one
Part of
Amedisys Mississippi LLC

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1790017481",
    "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": "512 N 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403825",
            "telephone_number": "601-649-0523",
            "fax_number": "601-649-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS MISSISSIPPI, LLC",
        "enumeration_date": "2010-02-04",
        "last_updated": "2012-07-12",
        "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": "MS",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER SERVICES",
            "identifier": "01983097",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070587",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.