Organization Active NPI

Madison Health LLC

  • Home Health Agency
  • Overland Park, KS
National Provider Identifier
1255798450
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MADISON HEALTH LLC
Practice address
11778 Melrose St
#69
Overland Park, KS 66210-3822
Phone
(913) 378-3039
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Ms. Valentine WaithiraNPI 1427716687
Title
Owner
Phone
(913) 378-3039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11778 Melrose St
#69
Overland Park, KS 66210-3822

Mailing address

11778 Melrose St
#69
Overland Park, KS 66210-3822
Phone (913) 378-3039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211227001234 KS Part B Supplier - Mass Immunization (Roster Biller Only) 8527459676 Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

2011 E Crossroads Ln
Ste 301
Olathe, KS 66062
Phone (913) 378-3039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1255798450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11778 MELROSE ST",
            "address_2": "#69",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662103822",
            "telephone_number": "913-378-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11778 MELROSE ST",
            "address_2": "#69",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662103822",
            "telephone_number": "913-378-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "WAITHIRA",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-378-3039",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.