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Contact Information

AMEDISYS ARKANSAS, L.L.C.
307 W STILLWELL AVE
DE QUEEN, AR71832-2860
 Phone: 870-642-4214
 Fax: 870-642-7782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for AMEDISYS ARKANSAS, L.L.C.

NPI Number 1093742066
LBN Legal business name AMEDISYS ARKANSAS, L.L.C.
Authorized official TRAVIS MIGLICCO - (SVP TAX)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2006
Last updated 03/28/2025 - More than a year ago
Identifiers
AR License # AR4746
AR License # AR4746B
AR Medicaid 182173514
AR Other 17056 BCBS
AR Other 125846752 MEDICAID ELDERCHOICE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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