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NPI Code Detail

MEDICARE: AMEDISYS NORTHWEST, L.L.C.

MEDICARE: AMEDISYS NORTHWEST, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency126-278-HGA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336197003
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMEDISYS NORTHWEST, L.L.C.
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4897
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 244 ODELL RD
Second Line : UNIT 1
City : GRIFFIN
State : GA
Zip : 30224-4787
Country : US
Telephone Number : 770-229-4962
Fax Number : 770-412-8767
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 617-639-4092
Provider Enumeration Date : 05/05/2006
Last Update Date : 04/06/2026

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Directions to “AMEDISYS NORTHWEST, L.L.C. ” Practice Location

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