Active NPI
Camden Bay LTD
Doing business as Bsa Compassion Home Care
- Home Health Agency
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 677943 | Other | TX | MEDICARE PROVIDER NUMBER |
Other names 1
- BSA COMPASSION HOME CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- Enrollment address
- 5211 SW 9TH Ave
Amarillo, TX 79106-4120
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Bsa Compassion Home Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 17, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1049321 | Camden Bay, LTD Bsa Compassion Home Care | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| High Plains Enterprises Corporation | Limited Partnership Interest | Jan 1, 2017 | 15.74% |
| Edgesources | Limited Partnership Interest | Jan 1, 2017 | 7.87% |
| 1217 Management Inc | Other | Jan 1, 2017 | |
| Ronald Madison | General Partnership Interest | Jan 1, 2017 | 0.5% |
| Limited Partnership Interest | Jan 1, 2017 | 25.06% | |
| Corporate Officer | Nov 27, 2007 | 50% | |
| Operational/Managerial Control | Nov 27, 2007 | 50% | |
| Sitka Bay LLC | General Partnership Interest | Nov 27, 2007 | 1% |
| Operational/Managerial Control | Nov 27, 2007 | 100% | |
| Michael Hughes | 5% Or Greater Indirect Ownership Interest | Jan 1, 2017 | 7.87% |
| 2121 Management Inc | Other | Jan 1, 2017 | |
| Edgemark LTD | Limited Partnership Interest | Jan 1, 2017 | 7.87% |
| Jack Hudgins | 5% Or Greater Indirect Ownership Interest | Jan 1, 2017 | 7.87% |
| Dana Madison | General Partnership Interest | Jan 1, 2017 | 0.5% |
| Limited Partnership Interest | Jan 1, 2017 | 25.06% | |
| Corporate Officer | Nov 27, 2007 | 50% | |
| Operational/Managerial Control | Nov 27, 2007 | 50% | |
| Carla Blacksher | Limited Partnership Interest | Jan 1, 2017 | 1.65% |
| Bsa Health System Holdings 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.
-
dba Compassion Home Health Care
- Home Health Agency
- Lubbock, TX
- NPI 1437980448
Sitka Bay LLC
Practitioners & affiliated clinicians
Affiliated clinicians 116
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Amarillo, TX
- NPI 1245234293
Home health agency
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1326305624
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.