- Enrollment id
- O20171122001451
- Enrollment state
- SC
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1760430375
- Multiple npi flag
- N
- Ccn
- 427039
- Associate id
- 5799737383
- Organization name
- AMEDISYS SC, LLC
- Doing business as name
- AMEDISYS HOME HEALTH OF AIKEN
- Incorporation date
- 2004-12-06
- Incorporation state
- SC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 714 SOUTHLAND DRIVE
- Address line 2
- SUITE 250
- City
- LEXINGTON
- State
- SC
- Zip code
- 290723462