Healthcare Provider Details

I. General information

NPI: 1861413890
Provider Name (Legal Business Name): AMEDISYS HOME HEALTH OF ALABAMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 MCCURDY AVE S STE C
RAINSVILLE AL
35986-5206
US

IV. Provider business mailing address

3854 AMERICAN WAY SUITE A
BATON ROUGE LA
70816-4013
US

V. Phone/Fax

Practice location:
  • Phone: 256-844-8303
  • Fax: 256-844-8373
Mailing address:
  • Phone: 225-292-2031
  • Fax: 225-295-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS MIGLICCO
Title or Position: VP TAX
Credential:
Phone: 225-299-3803