Organization
AMEDISYS ARKANSAS, L.L.C.
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS MIGLICCO (SVP TAX)
(225) 299-3803
Entity
Organization
Contact information
Practice address
307 W STILLWELL AVE, DE QUEEN, AR 71832-2860
(870) 642-4214
(870) 642-7782
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4746
AR
251E00000X
Home Health Agency
AR4746B
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125846752
MEDICAID ELDERCHOICE
AR
01
—
17056
BCBS
AR
05
—
182173514
—
AR
Enumeration date
06/27/2006
Last updated
03/28/2025
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