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NPI Code Detail

MEDICARE: AMEDISYS HOME HEALTH OF NEBRASKA, L.L.C.

MEDICARE: AMEDISYS HOME HEALTH OF NEBRASKA, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1073507505
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMEDISYS HOME HEALTH OF NEBRASKA, L.L.C.
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4897
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 10040 REGENCY CIR STE 125
Second Line :
City : OMAHA
State : NE
Zip : 68114-3715
Country : US
Telephone Number : 402-342-5566
Fax Number : 402-342-5587
Authorized Official
Title or Position : VP TAX
Name : TRAVIS MIGLICCO
Credential :
Telephone Number : 225-299-3803
Provider Enumeration Date : 09/12/2005
Last Update Date : 04/28/2023

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