AMEDISYS HOME HEALTH INC OF VIRGINIA (NPI# 1225157514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225157514 |
| Entity Type | Organization |
| Organization Name | AMEDISYS HOME HEALTH INC OF VIRGINIA |
| Other Organization Name | AMEDISYS HOME HEALTH OF PETERSBURG |
| Practice Address |
3333 S Crater Rd Suite 4-b Petersburg VA 23805-9276 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6080 |
| Practice Telephone | 8048627960 |
| Practice Fax Number | 8048627966 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | RONALD LABORDE (PRESIDENT) |
| Authorized Official Telephone | 2252922031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | EXEMPT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010247900 | 05 |
| Other Name | Type Code |
|---|---|
| Amedisys Home Health of Petersburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164547964 | Amedisys Home Health Inc of Virginia | Home Health | 909 West Main Street, Suite B, Clintwood, VA 24228-2130 | 2007-03-20 |
| 1861538787 | Amedisys Home Health Inc of Virginia | Home Health | 804 Omni Blvd Ste 102, Newport News, VA 23606-4422 | 2007-01-29 |
| 1518085927 | Amedisys Home Health Inc of Virginia | Home Health | 16009 Porterfield Hwy, Abingdon, VA 24210-8471 | 2007-03-26 |
| Street Address |
3333 S CRATER RD SUITE 4-B |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021720 | Total Homecare Corporation | Durable Medical Equipment & Medical Supplies | 3333 S Crater Rd, Ste 5, Petersburg, VA 23805 | 2005-05-27 |
| 1295200681 | Commonwealth Foot and Ankle, Inc. | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2018-10-11 |
| 1518135763 | Edward Boakye M.d.,p.c | Internal Medicine | 3333 S Crater Rd, Suite 3 C, Petersburg, VA 23805-9276 | 2008-02-11 |
| 1124140918 | Back Pain Inc | Family Medicine | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2007-04-04 |
| 1376682153 | Dr Marc Jay Pinsky PC | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2007-02-06 |
| 1902910417 | Gilda H. Pegram | Registered Nurse | 3333 S Crater Rd, ., Petersburg, VA 23805-9276 | 2006-08-19 |
| 1699781393 | Alliance Family Health Care, PC | Family Medicine | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-08-01 |
| 1457378804 | Alliance Family Practice, PC | Nurse Practitioner | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-07-15 |
| 1386698124 | Jeffrey Hall Pinsky | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2006-05-19 |
| 1174590186 | Marc Jay Pinsky | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| 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 |
|---|---|---|---|---|
| 1174130397 | Upscale Home Care, LLC | Home Health | 325 Brown St Ste 131, Petersburg, VA 23803-4234 | 2020-09-30 |
| 1720606866 | Love and Loyalty Home Care LLC | Home Health | 20 E Tabb St Ste 203, Petersburg, VA 23803-4560 | 2020-07-06 |
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1477038446 | Tameka Blount-brown | Home Health | 101 Morton Ave, Petersburg, VA 23805-2749 | 2018-09-26 |
| 1487057956 | Dream 9d Group Home LLC | Home Health | 817 S Jones St, Petersburg, VA 23803-4952 | 2014-09-29 |
| 1518304682 | Adult Healthcare Solutions, Inc | Home Health | 402 S Sycamore St, Suite A, Petersburg, VA 23803-5043 | 2013-05-30 |
| 1730456997 | Petersburg Adult Healthcare | Home Health | 130 Mckeever St, Petersburg, VA 23803-4302 | 2011-11-16 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| 1215109756 | Sapphire Healthcare Services | Home Health | 612 S Sycamore St, Suite 2, Petersburg, VA 23803-5828 | 2008-03-25 |
| 1063616746 | Mission of Love Corp. | Home Health | 2041 S Crater Rd, Petersburg, VA 23805-2703 | 2007-06-14 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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| 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.