AMEDISYS CALIFORNIA LLC (NPI# 1588979264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588979264 |
| Entity Type | Organization |
| Organization Name | AMEDISYS CALIFORNIA LLC |
| Other Organization Name | AMEDISYS HOME HEALTH |
| Practice Address |
10100 Trinity Pkwy Suite 410 Stockton CA 95219-7238 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2094788040 |
| Practice Fax Number | 2094788049 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | WILLIAM F BORNE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2252922031 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1588979264 | 05 |
| Other Name | Type Code |
|---|---|
| Amedisys Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518194505 | Amedisys California LLC | Home Health | 4051 Broad St, Suite 126, San Luis Obispo, CA 93401-8714 | 2009-06-17 |
| 1609002930 | Amedisys California LLC | Home Health | 19312 Highway 12, Suite B, Sonoma, CA 95476-5416 | 2009-06-01 |
| 1265747943 | Amedisys California LLC | Home Health | 7265 N 1st St, Suite 102, Fresno, CA 93720-2956 | 2010-08-18 |
| Street Address |
10100 TRINITY PKWY SUITE 410 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180630 | Wisdom 7, LLC | Home Health | 87 W March Ln Ste 1, Stockton, CA 95207-5731 | 2020-10-05 |
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1497302756 | Travel Group Caregivers LLC | Home Health | 5637 N Pershing Ave Ste C11e, Stockton, CA 95207-4944 | 2019-08-21 |
| 1750850210 | Clear Choice Home Health Care, Inc. | Home Health | 4550 N Pershing Ave Ste H, Stockton, CA 95207-6737 | 2018-11-14 |
| 1679003131 | Patient Care First | Home Health | 829 Rosemarie Ln Ste H, Stockton, CA 95207-6221 | 2017-06-18 |
| 1720539695 | Home Health of California LLC | Home Health | 11 S San Joaquin St, Ste 506, Stockton, CA 95202-3202 | 2016-10-17 |
| 1578911459 | Home Health of California Inc | Home Health | 1145 N California St Ste 205, Stockton, CA 95202 | 2016-06-01 |
| 1578943387 | Maxnursing Home Health | Home Health | 1435 Telegraph Ave, Stockton, CA 95204-1727 | 2015-06-05 |
| 1780077867 | Kanathan LLC | Home Health | 4450 Saint Andrews Dr, Stockton, CA 95219-1887 | 2015-03-12 |
| 1003136920 | California Family Home Health Care, LLC | Home Health | 1211 N Hunter St, Stockton, CA 95202-1409 | 2010-06-02 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on AMEDISYS CALIFORNIA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.