Healthcare Provider Details

I. General information

NPI: 1902064892
Provider Name (Legal Business Name): AMEDISYS HOSPICE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 AIRPORT RD SUITE 201
BLUEFIELD WV
24701-7388
US

IV. Provider business mailing address

3854 AMERICAN WAY STE A
BATON ROUGE LA
70816-4897
US

V. Phone/Fax

Practice location:
  • Phone: 304-327-0600
  • Fax: 304-327-0611
Mailing address:
  • Phone: 225-292-2031
  • Fax: 225-295-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number20
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number20
License Number StateWV

VIII. Authorized Official

Name: JOSHUA L. PROFFITT
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 617-639-4092