| Name: | Amedisys Home Health, a Lawrence Medical Center Partner, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Dec 2012 (12 years ago) (Companies founded in December 2012) |
| Entity Number: | 000-057-729 |
| Register Number: | 000057729 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 5959 S SHERWOOD FOREST BOULEVARDBATON ROUGE, LA 70816 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972616258 | 2006-08-17 | 2024-07-24 | 3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA, 708164013, US | 14765 COURT ST, MOULTON, AL, 356501263, US | |||||||||||||||||||||||||||||||
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| Phone | +1 225-292-2031 |
| Fax | 2252959678 |
| Phone | +1 256-974-2298 |
| Fax | 2569744215 |
Authorized person
| Name | TRAVIS MIGLICCO |
| Role | SVP TAX |
| Phone | 2252993803 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 148505 |
| State | AL |
| Issuer | MEDICAID |
| Number | LAW7118A |
| State | AL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
