Caregivers of Madison, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAREGIVERS OF MADISON, INC

Practice address

437 S Yellowstone Dr Ste 101
Madison, WI 53719-1096

Phone

(608) 467-3590

Fax

(608) 467-3591

NPI assigned

May 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raju A Perecherla, PH.D.

Title

President

Phone

(608) 467-3590

Specialties & licenses 1

Addresses

Other names 1

• Golden Heart Senior Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1083069637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46286",
            "address_2": "437 S. YELLOWSTONE DR., STE #101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537446286",
            "telephone_number": "608-467-3590",
            "fax_number": "608-467-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S YELLOWSTONE DR STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191096",
            "telephone_number": "608-467-3590",
            "fax_number": "608-467-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS OF MADISON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "PERECHERLA",
        "authorized_official_first_name": "RAJU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-467-3590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Heart Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Madison, WI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.