Organization Active NPI

Camden Bay LTD

Doing business as Bsa Compassion Home Care

  • Home Health Agency
  • Amarillo, TX
National Provider Identifier
1245426527
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAMDEN BAY LTD
Doing business as
Bsa Compassion Home Care
Practice address
5211 SW 9TH Ave
Amarillo, TX 79106-4120
Phone
(806) 351-8522
NPI assigned
Sep 19, 2007
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Ronald E Madison
Title
VP of General Partner
Phone
(806) 712-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5211 SW 9TH Ave
Amarillo, TX 79106-4120

Mailing address

5211 SW 9TH Ave
Amarillo, TX 79106-4120
Phone (806) 351-8522

Other identifiers 1

IdentifierTypeStateIssuer
677943OtherTXMEDICARE PROVIDER NUMBER

Other names 1

  • BSA COMPASSION HOME CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080603000186 TX Part A Provider - Home Health Agency 3870663859 Practice locations: Amarillo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245426527. Details of each certification follow.

Home health agency certification: CCN 677943

Legal name
CAMDEN BAY LTD
Doing business as
BSA COMPASSION HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 17, 2006
Last certification
Mar 19, 2019
Ownership / control type
Proprietary
Organization structure
PartnershipProprietary
Enrollment address
5211 SW 9TH Ave
Amarillo, TX 79106-4120

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bsa Compassion Home CareCCN 677943 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1049321Camden Bay, LTD Bsa Compassion Home Care5211 SW 9TH Ave, Ste 200, Amarillo, TX 79106Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

Locations

1301 S Coulter St
Ste 401
Amarillo, TX 79106
Phone (806) 351-8522

1301 S Coulter St
Ste 402
Amarillo, TX 79106
Phone (806) 351-8522

2701 S Georgia St
Ste 3
Amarillo, TX 79109
Phone (806) 351-8522

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
High Plains Enterprises Corporation Organization, Amarillo, TX Corporation Limited Partnership Interest Jan 1, 2017 15.74%
Edgesources Organization, Amarillo, TX For-profit Limited Partnership Interest Jan 1, 2017 7.87%
1217 Management Inc Organization, Amarillo, TX Corporation Other Jan 1, 2017
Ronald Madison Individual General Partnership Interest Jan 1, 2017 0.5%
Limited Partnership Interest Jan 1, 2017 25.06%
Corporate OfficerCfo Nov 27, 2007 50%
Operational/Managerial Control Nov 27, 2007 50%
Sitka Bay LLC Organization, Lubbock, TX LLC, For-profit General Partnership Interest Nov 27, 2007 1%
Operational/Managerial Control Nov 27, 2007 100%
Michael Hughes Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2017 7.87%
2121 Management Inc Organization, Amarillo, TX Corporation Other Jan 1, 2017
Edgemark LTD Organization, Amarillo, TX For-profit Limited Partnership Interest Jan 1, 2017 7.87%
Jack Hudgins Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2017 7.87%
Dana Madison Individual General Partnership Interest Jan 1, 2017 0.5%
Limited Partnership Interest Jan 1, 2017 25.06%
Corporate OfficerAdministrator Nov 27, 2007 50%
Operational/Managerial Control Nov 27, 2007 50%
Carla Blacksher Individual Limited Partnership Interest Jan 1, 2017 1.65%
Bsa Health System Holdings LLC Organization, Amarillo, TX LLC Limited Partnership Interest Jan 1, 2017 15.74%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 116

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1245426527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064120",
            "telephone_number": "806-351-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064120",
            "telephone_number": "806-351-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN BAY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP OF GENERAL PARTNER",
        "authorized_official_telephone_number": "806-712-1110"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "677943",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BSA COMPASSION HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BSA COMPASSION HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.