Healthcare Provider Details

I. General information

NPI: 1801881669
Provider Name (Legal Business Name): AMEDISYS DELAWARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 COLLEGE PARK DR STE 101
DOVER DE
19904-8702
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 302-678-4764
  • Fax: 302-678-8614
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 NumberHHAS010A
License Number StateDE

VIII. Authorized Official

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