NPIMap

Organization Active NPI

Baptist Health Deaconess Madisonville Home Care, LLC

Doing business as Baptist Health Deaconess Health at Home

  • Home Health Agency
  • Madisonville, KY
National Provider Identifier
1316723836
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BAPTIST HEALTH DEACONESS MADISONVILLE HOME CARE, LLC
Doing business as
Baptist Health Deaconess Health at Home
Practice address
1079 Thornberry Dr Ste 203
Madisonville, KY 42431-1600
Phone
(270) 824-3470
NPI assigned
Sep 1, 2023
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Jack D Hawkins
Title
VP Finance & Cfo
Phone
(513) 576-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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 1

  • Baptist Health Deaconess Health at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124000111 KY Part A Provider - Home Health Agency 3072965243 Practice locations: Madisonville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316723836. Details of each certification follow.

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
LLCProprietary
Incorporated
Oct 1, 2023 in KY
Enrollment address
1079 Thornberry Dr
Ste 203
Madisonville, KY 42431-1600

Care Compare: Home health agency

Medicare Care Compare
Listed as
Baptist Health Deaconess Health at HomeCCN 187013 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jul 5, 1967
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
18D0987287Baptist Health Deaconess Health at Home, LLC1079 Thornberry Drive Suite 203, Madisonville, KY 42431Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1079 Thornberry Dr
Ste 210
Madisonville, KY 42431

200 Clinic Dr
Ste 210
Madisonville, KY 42431

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Health at Home Holdco, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2023 16.5%
Baptist Health Deaconess, LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2023 58%
Brenda Carroll Individual W-2 Managing EmployeeDirector of Operations Oct 1, 2023
Commonspirit Health Organization, Englewood, CO Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2023 50%
Commonspirit Health at Home, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2023 50%
Lori Kirchoff Individual Contracted Managing EmployeeRegional VP Oct 1, 2023
CHI National Services LLC Organization, Englewood, CO Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2023 50%
Health at Home Blocker, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2023 33.5%
Christy Littrell Individual Corporate DirectorBoard Member Oct 10, 2023
Belinda Hill Individual W-2 Managing EmployeeDirector of Home Care Oct 1, 2023
Deaconess Health System Inc Organization, Evansville, IN Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2023 25%
Kim Ashby Individual Corporate DirectorBoard Member Oct 1, 2023
Alisa Coleman Individual Corporate OfficerPresident Oct 1, 2023
Corporate Director Oct 1, 2023
Trisha L Crissman Individual Corporate Officer Oct 1, 2023
Baptist Health Deaconess Madisonville Inc Organization, Louisville, KY Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2023 50%
Deaconess Health Kentucky Inc Organization, Evansville, IN Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2023 25%
Jack D Hawkins Individual Corporate OfficerSecretary and Treasurer Oct 1, 2023
CHI National Home Care, LLC Organization, Loveland, OH LLC 5% Or Greater Direct Ownership Interest Oct 1, 2023 50%
Baptist Healthcare System Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2023 25%

Owners & managing parties with NPI records 25

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

View all 25

Facilities with the same owner 113

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

View all 113

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2023 Change of OwnershipThis provider was the buyer Baptist Health Deaconess Home CareCCN 187013, KY, NPI 1215079124

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1316723836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 TRI RIDGE BLVD STE 300",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408345",
            "telephone_number": "513-576-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 THORNBERRY DR STE 203",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311600",
            "telephone_number": "270-824-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH DEACONESS MADISONVILLE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP FINANCE & CFO",
        "authorized_official_telephone_number": "513-576-0262"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Deaconess Health at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.