Baptist Health Deaconess Madisonville Home Care, LLC
Organization Active NPI Home Health Agency · Madisonville, KY
NPI 1316723836 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1316723836
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- BAPTIST HEALTH DEACONESS MADISONVILLE HOME CARE, LLC
- Practice address
- 1079 Thornberry Dr Ste 203
Madisonville, KY 42431-1600 - Phone
- (270) 824-3470
- NPI assigned
- Sep 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Jack D Hawkins
- Title
- VP Finance & Cfo
- Phone
- (513) 576-0262
Owners & managing parties with NPI records 25
Member of 4
Change of ownership 1
Facilities with the same owner 113
Affiliated clinicians 65
-
Chelsea Brown Adams, APRN, FNP-BC
-
Whitney Barnett Almy, APRN
-
Eric L Bandy, MD
-
Vishal Bansal, MD
-
David P Bealle, MD
-
Tiffany Caudill, APRN
-
Timothy Tinyau Chang, MD PHD
-
Joshua Clapp, M.D.
-
William H Clapp, M.D.
-
Kelly L Cole, D.O.
-
Maryssa Jean Coyle, APRN
-
Kayla Brooke Creekmur, APRN
-
Chester L Crump, MD
-
Charlie Clay Davis, APRN
-
Vinna R Denison, MD
-
James Carpenter Dodds, M.D.
-
Timothy I Durbin, MSN-FNP
-
Walker Lee Estes, D.P.M.
-
John J. Farmer, M. D.
-
James M Fellows, MD
-
David Wayne French, M.D.
-
Ashley L Gabbard, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Baptist Health Deaconess Health at Home
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Non-Profit
- Certified
- Jul 5, 1967
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0987287 | Baptist Health Deaconess Health at Home, LLC | Certificate of waiver | May 31, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Home health agency certification: CCN 187013
- Legal name
- BAPTIST HEALTH DEACONESS MADISONVILLE HOME CARE LLC
- Doing business as
- BAPTIST HEALTH DEACONESS HEALTH AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 5, 1967
- Last certification
- Nov 22, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 1, 2023 in KY
- Enrollment address
- 1079 Thornberry Dr
Ste 203
Madisonville, KY 42431-1600
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Health at Home Holdco, LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 16.5% |
| Baptist Health Deaconess, LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 58% |
| Brenda Carroll |
W-2 Managing Employee |
Oct 1, 2023 | |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 50% |
| Commonspirit Health at Home, LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 50% |
| Lori Kirchoff |
Contracted Managing Employee |
Oct 1, 2023 | |
| CHI National Services LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 50% |
| Health at Home Blocker, LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 33.5% |
| Christy Littrell |
Corporate Director |
Oct 10, 2023 | |
| Belinda Hill |
W-2 Managing Employee |
Oct 1, 2023 | |
| Deaconess Health System Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 25% |
| Kim Ashby |
Corporate Director |
Oct 1, 2023 | |
| Alisa Coleman |
Corporate Officer |
Oct 1, 2023 | |
| Corporate Director | Oct 1, 2023 | ||
| Trisha L Crissman |
Corporate Officer | Oct 1, 2023 | |
| Baptist Health Deaconess Madisonville Inc |
5% Or Greater Direct Ownership Interest | Oct 1, 2023 | 50% |
| Deaconess Health Kentucky Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 25% |
| Jack D Hawkins |
Corporate Officer |
Oct 1, 2023 | |
| CHI National Home Care, LLC |
5% Or Greater Direct Ownership Interest | Oct 1, 2023 | 50% |
| Baptist Healthcare System Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 25% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2023 | Change of Ownership |
Baptist Health Deaconess Home Care |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240124000111 | KY | Part a Provider - Home Health Agency | 3072965243 | Practice locations: Madisonville, KY |
National Provider Directory
Locations
1079 Thornberry Dr
Ste 210
Madisonville, KY 42431
200 Clinic Dr
Ste 210
Madisonville, KY 42431
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1079 Thornberry Dr Ste 203
Madisonville, KY 42431-1600
Mailing address
6281 Tri Ridge Blvd Ste 300
Loveland, OH 45140-8345
Phone (513) 576-0262
Other names
- Baptist Health Deaconess Health at Home
Other providers in Madisonville, KY
- Ben E Baldwin
- Brandi Susanne Baldwin
- Andrew Banks
- Vishal Bansal
- Varinder Pal Singh Bansro
- Baptist Health Deaconess Madisonville Inc
- Baptist Health Deaconess Madisonville Inc
- Baptist Health Deaconess Madisonville Inc
- Baptist Health Deaconess Madisonville Inc
- Baptist Health Deaconess Madisonville Inc
All providers in Madisonville, KY · Home Health Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.