Healthcare Provider Details

I. General information

NPI: 1942546239
Provider Name (Legal Business Name): AMEDISYS WASHINGTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2012
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 136TH PLACE SUITE 100
BELLEVUE WA
98005-2343
US

IV. Provider business mailing address

1800 136TH PLACE SUITE 100
BELLEVUE WA
98005-2343
US

V. Phone/Fax

Practice location:
  • Phone: 425-800-5557
  • Fax: 253-838-0985
Mailing address:
  • Phone: 425-800-5557
  • Fax: 615-221-2280

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: SVP TAX
Credential:
Phone: 225-299-3803