Madison Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

375556 Issued in MN

Legal business name

MADISON HEALTHCARE SERVICES

Doing business as

Madison Home Health Agency

Practice address

900 Second Avenue
Madison, MN 56256-1006

Phone

(320) 598-7556

Fax

(320) 598-3470

NPI assigned

Sep 20, 2006

Last updated

Nov 1, 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 2

Addresses

Other identifiers 2

Other names 1

• Madison Home Health Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386741684. Details of each certification follow.

• CCN 247111 Home health agency · Active · Details

Home health agency certification: CCN 247111

Legal name

MADISON HEALTHCARE SERVICES

Doing business as

MADISON HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 25, 1982

Last certification

Jun 27, 2018

Ownership / control type

Proprietary

Organization structure

LLCNon-profit

Incorporated

in MN

Enrollment address

900 2ND Ave
Madison, MN 56256-1006
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Madison Healthcare Services

  • Critical Access Hospital
  • Madison, MN
  • NPI 1942246848

  9638080187

  Same PAC ID

Listed as

Madison Home Health AgencyCCN 247111 · All quality measures

Ownership

Proprietary

Certified

Feb 25, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 8

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

Affiliated clinicians 1

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

• Brant Nicholas Hacker, M.D.

  • Family Medicine Physician
  • Madison, MN
  • NPI 1679633655

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1386741684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SECOND AVENUE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7551",
            "fax_number": "320-598-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SECOND AVENUE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7556",
            "fax_number": "320-598-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-11-01",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "375556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH UCARE",
            "identifier": "125927",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961355200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Madison Healthcare Services
• Victoria Marquardt
• Brandi Ann Merritt
• Melanie Miller

• Home Health Agency in Madison, MN
• Providers in Madison, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.