Madison Healthcare Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

327711 Issued in MN

Legal business name

MADISON HEALTHCARE SERVICES

Practice address

900 2ND Ave
Madison, MN 56256-1006

Phone

(320) 598-7536

Fax

(320) 598-3940

NPI assigned

Sep 21, 2005

Last updated

Aug 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol M Borgerson

Title

Cfo

Phone

(320) 698-7152

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Madison Lutheran Home Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306832795. Details of each certification follow.

• CCN 245382 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245382

Legal name

MADISON HEALTHCARE SERVICES

Doing business as

MADISON LUTHERAN HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1986

Last certification

Nov 6, 2024

Beds

51

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Jul 15, 1992 in MN

Enrollment address

900 2ND Ave
Madison, MN 56256-1006

Nursing home name

MADISON HEALTHCARE SERVICES

Listed as

Madison Healthcare ServicesCCN 245382 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Dec 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5146.0 residents per day on average

Penalties (3 years)

1Fines totaling $10,036

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Midwest Radiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lac Qui Parle Clinic of Madison Inc

  • Rural Health Clinic/Center
  • Madison, MN
  • NPI 1144266156
  NPD tax ID

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brant Nicholas Hacker, M.D.

  • Family Medicine Physician
  • Madison, MN
  • NPI 1679633655

  W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brant Nicholas Hacker, M.D.

  • Family Medicine Physician
  • Madison, MN
  • NPI 1679633655
  NPD (past)
• Maria Nolte, M.D.

  • Family Medicine Physician
  • Madison, MN
  • NPI 1134462765
  NPD (past)

Affiliated clinicians 2

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

• Brant Nicholas Hacker, M.D.

  • Family Medicine Physician
  • Madison, MN
  • NPI 1679633655

  Nursing home

  Care Compare affiliation
• Maria Nolte, M.D.

  • Family Medicine Physician
  • Madison, MN
  • NPI 1134462765

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1306832795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7536",
            "fax_number": "320-598-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7536",
            "fax_number": "320-598-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "BORGERSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-698-7152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "327711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE CROSS BLUE SHIELD",
            "identifier": "8795MA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134242800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Lutheran Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lac Qui Parle Clinic of Madison Inc
• Lac Qui Parle County Family Service Center
• Madison Chiropractic Center
• Madison Chiropractic Center PC
• Madison Dental Clinic PLLC
• Madison Healthcare Services
• Madison Healthcare Services (Madison Home Health Agency)
• Madison Healthcare Services (Madison Lutheran Home)
• Madison Healthcare Services
• Victoria Marquardt

• Skilled Nursing Facility in Madison, MN
• Providers in Madison, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.

Verify at the official NPI Registry.