Provider Demographics
NPI:1083718530
Name:AMEDISYS VALLEY TEXAS, L.L.C.
Entity Type:Organization
Organization Name:AMEDISYS VALLEY TEXAS, L.L.C.
Other - Org Name:VALLEY BAPTIST HOME HEALTH, AN AMEDISYS PARTNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:BORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-292-2031
Mailing Address - Street 1:5959 SOUTH SHERWOOD FOREST BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-292-2031
Mailing Address - Fax:225-295-9678
Practice Address - Street 1:2422 EAST TYLER AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7470
Practice Address - Country:US
Practice Address - Phone:956-389-2100
Practice Address - Fax:956-389-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001755251E00000X
TX13922251E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX288561802OtherMEDICAID DME CCP
TX288561803OtherMEDICAID DME DM2
TX095126102Medicaid
TX288561801Medicaid
677049Medicare Oscar/Certification