MEDICARE: AMEDISYS COLORADO LLC

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

General Provider Information

NPI Number	:	1114227881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS COLORADO LLC

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-298-3548
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	455 E PIKES PEAK AVE
Second Line	:	SUITE 210
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3648
Country	:	US
Telephone Number	:	719-471-4259
Fax Number	:	719-471-4642

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

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	09/01/2011

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