Provider Demographics
NPI:1740235647
Name:ACCUMED HOME HEALTH OF NORTH TEXAS, LLC
Entity Type:Organization
Organization Name:ACCUMED HOME HEALTH OF NORTH TEXAS, LLC
Other - Org Name:AMEDISYS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
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 1:1200 W UNIVERSITY DR
Practice Address - Street 2:SUITE 150
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1754
Practice Address - Country:US
Practice Address - Phone:940-323-8362
Practice Address - Fax:940-323-0212
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
TX009616251E00000X
TX014907251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531864OtherBC BS OF TEXAS
TXHH198HOtherBC BS OF TEXAS
TX152730101Medicaid
TX152730102Medicaid
TXHH198HOtherBC BS OF TEXAS
TX531864OtherBC BS OF TEXAS
TX=========OtherHEALTHSMART
TX=========OtherPACIFICARE
TX=========005OtherTRICARE
TX=========OtherHOMELINK
TX=========OtherCHOICE CARE
TX=========003OtherTRICARE
TX152730101Medicaid
TX=========OtherAETNA US HEALTHCARE