Healthcare Provider Details

I. General information

NPI: 1275798225
Provider Name (Legal Business Name): AMEDISYS ILLINOIS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 S MAIN ST
ALGONQUIN IL
60102-2758
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 847-658-2220
  • Fax: 847-658-2221
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 Number1010804
License Number StateIL

VIII. Authorized Official

Name: MR. WILLIAM BORNE
Title or Position: CEO
Credential:
Phone: 225-292-2031