Active NPI
Accumed Health Services, LP
Doing business as Amedisys Home Health
- Home Health Agency
- Pace, FL
National Provider Identifier
1922052000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 29991523
- Legal business name
- ACCUMED HEALTH SERVICES, LP
- Doing business as
- Amedisys Home Health
- Practice address
- 4628 Summerdale Dr
Pace, FL 32571-1368 - Phone
- (850) 995-3313
- Fax
- (850) 995-3315
- NPI assigned
- May 21, 2006
- Last updated
- Oct 15, 2009
- 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
- William Borne
- Title
- Ceo
- Phone
- (225) 292-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 29991523 | FL | Primary |
Addresses
Primary practice location
4628 Summerdale Dr
Pace, FL 32571-1368
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 298-3548
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651069800 | Medicaid | FL | |
| J5B | Other | FL | BCBS FL |
| 582602215 | Other | FL | TRICARE |
| 107239 | Other | FL | HUMANA |
| 651069801 | Medicaid | FL |
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.
-
dba Amedisys Home Health Care
- Home Health Agency
- Mobile, AL
- NPI 1750335832
Member Of
Locations
4628 Summerdale Blvd
Pace, FL 32571
Phone (850) 994-6575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1922052000",
"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": "225-298-3548",
"fax_number": "225-295-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4628 SUMMERDALE DR",
"city": "PACE",
"state": "FL",
"postal_code": "325711368",
"telephone_number": "850-995-3313",
"fax_number": "850-995-3315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCUMED HEALTH SERVICES, LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-21",
"last_updated": "2009-10-15",
"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"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "29991523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "651069800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "J5B",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "582602215",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "107239",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "651069801",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.