Provider Demographics
NPI:1689879389
Name:AMEDISYS HOME HEALTH
Entity Type:Organization
Organization Name:AMEDISYS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAYANALA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:205-752-0606
Mailing Address - Street 1:2420 ENGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-8893
Mailing Address - Country:US
Mailing Address - Phone:205-752-0606
Mailing Address - Fax:205-752-5137
Practice Address - Street 1:1300 MCFARLAND BLVD NE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2252
Practice Address - Country:US
Practice Address - Phone:205-752-0606
Practice Address - Fax:205-752-5137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1724251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health