MEDICARE: AMEDISYS HOSPICE, 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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1174200620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS HOSPICE, 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	:

Provider Business Practice Location Address
First Line	:	1696 W HIBISCUS BLVD STE B
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-2638
Country	:	US
Telephone Number	:	321-549-0275
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	JOSHUA L. PROFFITT
Credential	:
Telephone Number	:	617-639-4092

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	06/02/2026

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