Active NPI
Rose Madison
- Home Health Agency
- Houston, TX
National Provider Identifier
1760103824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 9049
- Practice address
- 17024 Butte Creek Rd Ste 204
Houston, TX 77090-2329 - Phone
- (346) 978-8586
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 9049 | TX | Primary |
Addresses
Primary practice location
17024 Butte Creek Rd Ste 204
Houston, TX 77090-2329
Mailing address
17024 Butte Creek Rd Ste 204
Houston, TX 77090-2329
Phone (346) 978-8586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9049 | Other | TX | NFA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9049 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1760103824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17024 BUTTE CREEK RD STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902329",
"telephone_number": "346-978-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17024 BUTTE CREEK RD STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902329",
"telephone_number": "346-978-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "9049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NFA LICENSE",
"identifier": "9049",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.