AMEDISYS HOSPICE LLC NPI 1396938015

NPI Information

  • NPI: 1396938015
  • Provider Name: AMEDISYS HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 11D1078956
  • Address: 4255 WADE GREEN RD NW BLDG 300
    SUITE 320
    KENNESAW, GA
    ZIP 30144
  • Phone: (770) 423-1316

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NPI Details

AMEDISYS HOSPICE LLC is a hospice care community based in Kennesaw, GA. AMEDISYS HOSPICE LLC NPI is 1396938015. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4255 WADE GREEN RD NW BLDG 300
SUITE 320
KENNESAW, GA
ZIP 30144-762
Phone: (770) 423-1316
Fax: (770) 426-7453

The provider's authorized official is Travis Miglicco .
The authorized official title is Svp Tax and has the following contact phone number (225) 299-3803.

The CLIA number assigned to this NPI record is 11D1078956 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 5/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1538644165AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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