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Contact Information

AMEDISYS ARKANSAS, LLC
117 NORTHRIDGE DR E STE C
VAN BUREN, AR72956-6983
 Phone: 479-474-4892
 Fax: 479-474-4179
 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, LLC

NPI # 1346208758
LBN Legal business name AMEDISYS ARKANSAS, LLC
Authorized official TRAVIS MIGLICCO - (SVP TAX)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 06/23/2025 - About 12 months ago
Identifiers
AR License # AR4358
AR Medicaid 152238514
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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