Active NPI
Amedisys Texas LLC
- Home Health Agency
- Fort Worth, TX
National Provider Identifier
1841249919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 014920
- Legal business name
- AMEDISYS TEXAS LLC
- Practice address
- 1612 Summit Ave
Suite 250
Fort Worth, TX 76102-5998 - Phone
- (817) 335-1777
- Fax
- (817) 335-1808
- NPI assigned
- May 8, 2006
- 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 | 014920 | TX | Primary |
Addresses
Primary practice location
1612 Summit Ave
Suite 250
Fort Worth, TX 76102-5998
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155176401 | Medicaid | TX |
Other names 1
- Amedisys Home Health
National Provider Directory
National Provider DirectoryMember 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": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354579200000",
"number": "1841249919",
"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": "1612 SUMMIT AVE",
"address_2": "SUITE 250",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761025998",
"telephone_number": "817-335-1777",
"fax_number": "817-335-1808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDISYS TEXAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2012-12-04",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "014920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155176401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.