Organization Active NPI

Amedisys Tennessee, LLC

Doing business as Amedisys Home Health

  • Home Health Agency
  • Brentwood, TN
National Provider Identifier
1972551794
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000038 Issued in TN
Legal business name
AMEDISYS TENNESSEE, LLC
Doing business as
Amedisys Home Health
Beacon Home Health
Practice address
783 Old Hickory Blvd Ste 300
Brentwood, TN 37027-4508
Phone
(615) 298-3931
Fax
(615) 298-3163
NPI assigned
May 4, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000000038 TN Primary

Addresses

Primary practice location

783 Old Hickory Blvd Ste 300
Brentwood, TN 37027-4508

Mailing address

783 Old Hickory Blvd Ste 300
Brentwood, TN 37027-4508
Phone (615) 298-3931

Other practice location 1

311 Landrum Pl Ste 100A
Clarksville, TN 37043-6319
Phone (931) 358-9063

Other identifiers 1

IdentifierTypeStateIssuer
0447107MedicaidTN

Other names 2

  • Amedisys Home Health Doing business as
  • Beacon Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000076 TN Part A Provider - Home Health Agency 4688663867 Practice locations: Brentwood, TN; Clarksville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972551794. Details of each certification follow.

Home health agency certification: CCN 447107

Legal name
AMEDISYS TENNESSEE, LLC.
Doing business as
BEACON HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 13, 1976
Last certification
May 10, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
783 Old Hickory Blvd
Ste 300
Brentwood, TN 37027-4508

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home HealthCCN 447107 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 13, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0308245Amedisys Tennessee LLC783 Old Hickory Blvd, Suite 300, Brentwood, TN 37027Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

783 Old Hickory Blvd
Ste 300
Brentwood, TN 37027
Phone (615) 298-3931

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2025 100%
Michael Magette Individual Corporate OfficerTreasurer Oct 1, 2025
Brent Guerisoli Individual Corporate DirectorDirector Oct 1, 2025
Judy Renee Mosier Individual W-2 Managing EmployeeAd; Oct 1, 2025
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2025 100%
John J Gochnour Individual Corporate OfficerPresident / LLC Manager Oct 1, 2025
Amber Tueller Individual Corporate OfficerSecretary Oct 1, 2025
Elliot McMillan Individual Corporate OfficerVice President Oct 1, 2025

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 114

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1972551794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 OLD HICKORY BLVD STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274508",
            "telephone_number": "615-298-3931",
            "fax_number": "615-298-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 OLD HICKORY BLVD STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274508",
            "telephone_number": "615-298-3931",
            "fax_number": "615-298-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Landrum Pl Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370436319",
            "country_code": "US",
            "telephone_number": "931-358-9063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMEDISYS TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.