MEDICARE: AMEDISYS NEVADA 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	:	1750512505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS NEVADA 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	:	2870 S MARYLAND PKWY
Second Line	:	SUITE 250
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-5031
Country	:	US
Telephone Number	:	702-791-1062
Fax Number	:	702-791-7686

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LARRY R GRAHAM
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	07/28/2009

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Directions to “AMEDISYS NEVADA LLC ” Practice Location

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