MEDICARE: AMEDISYS HOME HEALTH INC

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
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1750506564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS HOME HEALTH INC

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6080
Country	:	US
Telephone Number	:	225-298-3548
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	302 MANATEE AVE E
Second Line	:	STE 210
City	:	BRADENTON
State	:	FL
Zip	:	34208-1900
Country	:	US
Telephone Number	:	941-746-6538
Fax Number	:	941-746-9184

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LARRY GRAHAM
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

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