=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972551794
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMEDISYS TENNESSEE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2006
-----------------------------------------------------
Last Update Date | 03/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 783 OLD HICKORY BLVD STE 300
-----------------------------------------------------
City | BRENTWOOD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37027-4508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-298-3931
-----------------------------------------------------
Fax | 615-298-3163
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 783 OLD HICKORY BLVD STE 300
-----------------------------------------------------
City | BRENTWOOD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37027-4508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-298-3931
-----------------------------------------------------
Fax | 615-298-3163
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY
-----------------------------------------------------
Name | AMBER L TUELLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 208-207-2726
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 0000000038
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------