MEDICARE: AMEDISYS VALLEY TEXAS, 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
1	251E00000X	Home Health Agency	001755	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	251E00000X	Home Health Agency	13922	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083718530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS VALLEY TEXAS, L.L.C.

Provider Business Mailing Address
First Line	:	5959 SOUTH SHERWOOD FOREST BOULEVARD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	2422 EAST TYLER AVENUE
Second Line	:	SUITE A
City	:	HARLINGEN
State	:	TX
Zip	:	78550-7470
Country	:	US
Telephone Number	:	956-389-2100
Fax Number	:	956-389-3744

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM F. BORNE
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	07/19/2013

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Directions to “AMEDISYS VALLEY TEXAS, L.L.C. ” Practice Location

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