MEDICARE: AMEDISYS LOUISIANA, LLC

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	2203781752	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	013100P	OTHER	LA-COMMERCIAL NUMBER
2	1018198	OTHER	LA-COMMERCIAL NUMBER
3	113414024G	OTHER	LA-COMMERCIAL NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	33939	OTHER	LA-COMMERCIAL NUMBER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	115712	OTHER	LA-COMMERCIAL NUMBER
9	565800	OTHER	LA-COMMERCIAL NUMBER
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	112645333028	OTHER	LA-CHAMPUS
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	197242	OTHER	LA-COMMERCIAL NUMBER
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	112645333	OTHER	LA-COMMERCIAL NUMBER
17	112645333148	OTHER	LA-CHAMPUS
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	6000182	OTHER	LA-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1871523902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS LOUISIANA, LLC

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	:	425 ASHLEY RIDGE BLVD
Second Line	:	SUITE 246
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-7226
Country	:	US
Telephone Number	:	318-865-8865
Fax Number	:	318-865-0104

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	JOSHUA L. PROFFITT
Credential	:
Telephone Number	:	617-639-4092

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/20/2026

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