NPIMap

Organization Active NPI

Amedisys Indiana, L.L.C.

Doing business as Amedisys Home Health of Chesterton

  • Home Health Agency
  • Chesterton, IN
National Provider Identifier
1861639569
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080101491 Issued in IN
Legal business name
AMEDISYS INDIANA, L.L.C.
Doing business as
Amedisys Home Health of Chesterton
Practice address
442 Sand Creek Dr
Suite 101
Chesterton, IN 46304-1595
Phone
(219) 926-5100
Fax
(219) 926-5111
NPI assigned
Jan 16, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS INDIANA, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X 080101491 IN Primary

Addresses

Primary practice location

442 Sand Creek Dr
Suite 101
Chesterton, IN 46304-1595

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
200914990CMedicaidIN

Other names 1

  • Amedisys Home Health of Chesterton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Indiana LLC3 organizations share this tax ID, including this one
Part of
Amedisys Indiana LLC

Other organizations with this tax ID 2

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

Locations

442 Sand Creek Dr
Ste 101
Chesterton, IN 46304
Phone (219) 359-3272

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1861639569",
    "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": "442 SAND CREEK DR",
            "address_2": "SUITE 101",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041595",
            "telephone_number": "219-926-5100",
            "fax_number": "219-926-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS INDIANA, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS INDIANA, L.L.C.",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-10-29",
        "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": "IN",
            "license": "080101491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200914990C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Chesterton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.