MEDICARE: AMEDISYS HOSPICE, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1386204402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS HOSPICE, LLC

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	:	1400 MERCANTILE LN STE 228
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-5350
Country	:	US
Telephone Number	:	301-349-3658
Fax Number	:	877-304-4917

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

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	04/07/2026

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