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1871523902 NPI number — AMEDISYS LOUISIANA, LLC

NPI Number: 1871523902
Health Care Provider/Practitioner: AMEDISYS LOUISIANA, LLC

Information about “1871523902” NPI (AMEDISYS LOUISIANA, LLC) exists in 1871523902 in HTML format HTML  |  1871523902 in plain Text format TXT  |  1871523902 in PDF (Portable Document Format) PDF  |  1871523902 in an XML format XML  formats.

NPI Number : 1871523902 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871523902",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMEDISYS LOUISIANA, 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": "3854 AMERICAN WAY",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "BATON ROUGE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70816-4013",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "225-292-2031",
    "MailingAddressFaxNumber": "225-295-9678",
    "FirstLinePracticeLocationAddress": "425 ASHLEY RIDGE BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 246",
    "PracticeLocationAddressCityName": "SHREVEPORT",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71106-7226",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-865-8865",
    "PracticeLocationAddressFaxNumber": "318-865-0104",
    "EnumerationDate": "07/04/2006",
    "LastUpdateDate": "07/28/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KUSSEROW",
    "AuthorizedOfficialFirstName": "PAUL",
    "AuthorizedOfficialMiddleName": "B",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "225-292-2031",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "2203781752",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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