Active NPI
Amedisys Illinois LLC
Doing business as Amedisys Home Health of Rock Island
- Home Health Agency
- Rock Island, IL
National Provider Identifier
1790927739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMEDISYS ILLINOIS LLC
- Doing business as
- Amedisys Home Health of Rock Island
- Practice address
- 1830 2ND Avenue
Suite 100
Rock Island, IL 61201-8003 - Phone
- (309) 786-5762
- Fax
- (309) 786-7029
- NPI assigned
- Apr 6, 2009
- Last updated
- Apr 7, 2011
- 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 F Borne
- Title
- Ceo
- Phone
- (225) 292-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1830 2ND Avenue
Suite 100
Rock Island, IL 61201-8003
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031
Other names 1
- Amedisys Home Health of Rock Island
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Amedisys Home Health
- Home Health Agency
- Lake Zurich, IL
- NPI 1861667115
Member Of
Locations
1830 2nd Ave
Ste 100
Rock Island, IL 61201
Phone (309) 786-5762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302134400000",
"number": "1790927739",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 2ND AVENUE",
"address_2": "SUITE 100",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612018003",
"telephone_number": "309-786-5762",
"fax_number": "309-786-7029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDISYS ILLINOIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-06",
"last_updated": "2011-04-07",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health of Rock Island",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.