Provider Demographics
NPI:1982911608
Name:HOUSECALL HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HOUSECALL HOME HEALTH, INC.
Other - Org Name:AMEDISYS GULF COAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
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 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 1:8250 BRYAN DAIRY RD
Practice Address - Street 2:SUITE 140
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-1353
Practice Address - Country:US
Practice Address - Phone:727-397-7013
Practice Address - Fax:727-391-5160
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUSECALL HOME HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21007096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health