{
"Npi": {
"NPI": "1114975539",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AMEDISYS TENNESSEE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1255 LYNNFIELD RD STE 110",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MEMPHIS",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "38119-5188",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "901-685-7231",
"MailingAddressFaxNumber": "901-761-5485",
"FirstLinePracticeLocationAddress": "1255 LYNNFIELD RD STE 110",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MEMPHIS",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "38119-5188",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "901-685-7231",
"PracticeLocationAddressFaxNumber": "901-761-5485",
"EnumerationDate": "05/05/2006",
"LastUpdateDate": "10/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TUELLER",
"AuthorizedOfficialFirstName": "AMBER",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "SECRETARY",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "208-207-2726",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "0000000238",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}