Organization
AMEDISYS ILLINOIS, L.L.C.
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LABORDE (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
18450 CROSSING DR, SUITE E, TINLEY PARK, IL 60487-9279
(708) 532-3324
(708) 532-3423
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010812
IL
251E00000X
Home Health Agency
1829489
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364576454004
—
IL
Enumeration date
11/08/2005
Last updated
03/03/2014
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