Amedisys Illinois, L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010812 Issued in IL

Legal business name

AMEDISYS ILLINOIS, L.L.C.

Doing business as

Amedisys Home Health

Practice address

18450 Crossing Dr
Suite E
Tinley Park, IL 60487-9279

Phone

(708) 532-3324

Fax

(708) 532-3423

NPI assigned

Nov 8, 2005

Last updated

Mar 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Laborde

Title

President

Phone

(225) 292-2031

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amedisys Home Health Doing business as

Member of 1

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

• Amedisys Illinois LLC

  dba Amedisys Home Health

  • Home Health Agency
  • O'Fallon, IL
  • NPI 1447474895

  Member Of

  NPD member

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1871574798",
    "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": "18450 CROSSING DR",
            "address_2": "SUITE E",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879279",
            "telephone_number": "708-532-3324",
            "fax_number": "708-532-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS ILLINOIS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "LABORDE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1829489",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364576454004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.