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Organization Active NPI

Baptist Health Deaconess Madisonville Inc

Doing business as Baptist Health Deaconess Home Care

  • Home Health Agency
  • Madisonville, KY
National Provider Identifier
1215079124
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BAPTIST HEALTH DEACONESS MADISONVILLE INC
Doing business as
Baptist Health Deaconess Home Care
Baptist Health Home Care
Baptist Health Madisonville Home Care
Practice address
200 Clinic Dr
Madisonville, KY 42431
Phone
(270) 824-3470
Fax
(270) 824-3468
NPI assigned
Feb 14, 2007
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mr. Richard Carrico
Title
Chief Financial Officer
Phone
(502) 896-5006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

200 Clinic Dr
Madisonville, KY 42431

Mailing address

900 Hospital Dr
Madisonville, KY 42431-1653
Phone (270) 824-3470

Other names 3

  • Baptist Health Deaconess Home Care Doing business as
  • Baptist Health Home Care Doing business as
  • Baptist Health Madisonville Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://epicproxy.bhsi.com/PRD-FHIR/api/FHIR/R4/

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2023 Change of OwnershipThis provider was the seller Baptist Health Deaconess Health at HomeCCN 187013, KY, NPI 1316723836

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1215079124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311653",
            "telephone_number": "270-824-3470",
            "fax_number": "270-824-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINIC DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "42431",
            "telephone_number": "270-824-3470",
            "fax_number": "270-824-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH DEACONESS MADISONVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-896-5006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Deaconess Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Madisonville Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.