Healthcare Provider Details

I. General information

NPI: 1528231198
Provider Name (Legal Business Name): AMEDISYS VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2008
Last Update Date: 03/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12852 GOVERNOR G C PEERY HWY SUITE B
POUNDING MILL VA
24637-4322
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 276-935-2690
  • Fax: 276-935-2695
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: MR. RONALD LABORDE
Title or Position: PRESIDENT
Credential:
Phone: 225-292-2031