Provider Demographics
NPI:1639124415
Name:M.M. ACCUMED VENTURES, LLC
Entity Type:Organization
Organization Name:M.M. ACCUMED VENTURES, LLC
Other - Org Name:AMEDISYS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-292-2031
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
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 1:2800 S I H 35
Practice Address - Street 2:STE 215
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5712
Practice Address - Country:US
Practice Address - Phone:512-330-9444
Practice Address - Fax:512-732-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009592251E00000X
TX014868251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679116OtherSTERLING LIFE INSURANCE
TX679122OtherPACIFICARE
TX679116OtherHUMANA
TX724988423OtherAETNA US HEALTHCARE
TX152732702Medicaid
TX724977423OtherHUMANA
TX679116OtherARCADIAN HEALTH PLAN HMO
TXHH136HOtherBC BS OF TX
TX152732701Medicaid
TXHH136HOtherBC BS OF TX