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NPI 1104095512

NPI 1104095512 : AMEDISYS HOSPICE, L.L.C. : TUSCALOOSA, AL

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General NPI Number Information
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    NPI Number           |    1104095512
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMEDISYS HOSPICE, L.L.C. 
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Dates
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    Enumeration Date     |    02/29/2008
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    Last Update Date     |    04/17/2025
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Provider Practice Location Address
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    Address Line         |    1300 MCFARLAND BLVD NE STE 340 
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    City                 |    TUSCALOOSA
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    State                |    AL
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    Zip                  |    35406-2282
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    Country              |    US
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    Telephone            |    205-345-4907
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    Fax                  |    205-345-4713
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Provider Business Mailing Address
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    Address Line         |    5959 S SHERWOOD FOREST BLVD 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70816-6038
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    Country              |    US
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    Telephone            |    225-298-3548
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    Fax                  |    225-295-9678
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Authorized Official
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    Title or Position    |    SVP TAX
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    Name                 |     TRAVIS  MIGLICCO 
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    Credential           |    
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    Telephone            |    225-299-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    E6307
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    License Number State |    AL
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