National Provider Identifier Database

AMEDISYS HOSPICE LLC
Hospice Care, Community Based


Contact Information

AMEDISYS HOSPICE, LLC
2200 GRAND CENTRAL AVE
SUITE 102
VIENNA, WV26105-1300
Phone: 304-424-6270
Fax: 304-424-6274
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Hospice, Inpatient 315D00000X

* Indicates primary specialty

NPI Profile & details for AMEDISYS HOSPICE, LLC

NPI Number 1366600256
Legal business name
LBN
AMEDISYS HOSPICE, LLC
Authorized official JOSHUA PROFFITT - (PRESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 05/28/2008
Last updated 04/06/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 21
  • WV Medicaid: 3810011798
  • WV Medicaid: 3810017240
  • WV Medicaid: 3810019171

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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