Organization Active NPI

Phoenix Bay LTD

Doing business as Compassion Home Health Care

  • Home Health Agency
  • Lubbock, TX
National Provider Identifier
1437980448
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHOENIX BAY LTD
Doing business as
Compassion Home Health Care
Practice address
10207 Indiana Ave
Lubbock, TX 79423-4909
Phone
(806) 712-1110
Fax
(806) 712-1115
NPI assigned
Aug 12, 2024
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Ronald Madison
Title
President
Phone
(806) 712-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

10207 Indiana Ave
Lubbock, TX 79423-4909

Mailing address

10207 Indiana Ave
Lubbock, TX 79423-4909
Phone (806) 712-1110

Other identifiers 1

IdentifierTypeStateIssuer
023525OtherTXLHHS, LCHHS

Other names 1

  • Compassion Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313003631 TX Part A Provider - Home Health Agency 2567984024 Practice locations: Lubbock, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437980448. Details of each certification follow.

Home health agency certification: CCN 748139

Legal name
PHOENIX BAY LTD
Doing business as
COMPASSION HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 14, 2025
Last certification
Apr 2, 2025
Organization structure
PartnershipProprietary
Enrollment address
10207 Indiana Ave
Lubbock, TX 79423-4909

Care Compare: Home health agency

Medicare Care Compare
Listed as
Compassion Home Health CareCCN 748139 · All quality measures
Ownership
-
Certified
Apr 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2326074Phoenix Bay, LTD. Dba Compassion Home Health Care10207 Indiana Avenue, Lubbock, TX 79423Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

10207 Indiana Ave
Lubbock, TX 79423
Phone (806) 712-1110

Ownership & related parties

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.

NameRoleSinceShare
Bradely Madison Individual 5% Or Greater Direct Ownership Interest Aug 2, 2024 22%
Limited Partnership Interest Aug 2, 2024 22%
Ronald Madison Individual 5% Or Greater Direct Ownership Interest Aug 2, 2024 12%
General Partnership Interest Aug 2, 2024 0.5%
Limited Partnership Interest Aug 2, 2024 12%
Corporate OfficerCfo Aug 2, 2024 33.3%
Operational/Managerial ControlCfo Aug 2, 2024 50%
Sitka Bay LLC Organization, Lubbock, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 2, 2024 1%
General Partnership Interest Aug 2, 2024 1%
Operational/Managerial Control Aug 2, 2024 100%
Michael Madison Individual 5% Or Greater Direct Ownership Interest Aug 2, 2024 22%
Limited Partnership Interest Aug 2, 2024 22%
Corporate Officer Aug 2, 2024 33.3%
Russell Madison Individual 5% Or Greater Direct Ownership Interest Aug 2, 2024 22%
Limited Partnership Interest Aug 2, 2024 22%
Edgemark LTD Organization, Amarillo, TX 5% Or Greater Direct Ownership Interest Aug 2, 2024 4.5%
Limited Partnership Interest Aug 2, 2024 4.5%
Dana Madison Individual 5% Or Greater Direct Ownership Interest Aug 2, 2024 12%
General Partnership Interest Aug 2, 2024 0.5%
Limited Partnership Interest Aug 2, 2024 12%
Corporate OfficerAdministrator Aug 2, 2024 33.4%
Operational/Managerial Control Aug 2, 2024 50%
Carla Blacksher Individual 5% Or Greater Direct Ownership Interest Aug 2, 2024 4.5%
Limited Partnership Interest Aug 2, 2024 4.5%

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 12

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

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1437980448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234909",
            "telephone_number": "806-712-1110",
            "fax_number": "806-712-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234909",
            "telephone_number": "806-712-1110",
            "fax_number": "806-712-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BAY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-712-1110"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHHS, LCHHS",
            "identifier": "023525",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassion Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.