NPIMap

Organization Active NPI

Madison Home Health Services LLC

  • Home Health Agency
  • Madison, AL
National Provider Identifier
1821732728
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MADISON HOME HEALTH SERVICES LLC
Practice address
44 Hughes Rd Ste 2400
Madison, AL 35758-3038
Phone
(256) 724-6870
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Mr. James P Walker Jr.
Title
Manager
Phone
(256) 927-7408

Specialties & licenses 1

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

Addresses

Primary practice location

44 Hughes Rd Ste 2400
Madison, AL 35758-3038

Mailing address

230 W Main St
Centre, AL 35960-1326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221021001578 AL Part A Provider - Home Health Agency 3678949203 Practice locations: Madison, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821732728. Details of each certification follow.

Home health agency certification: CCN 017880

Legal name
MADISON HOME HEALTH SERVICES, LLC
Doing business as
PREFERRED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2023
Last certification
Jan 12, 2023
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 15, 2021 in AL
Enrollment address
44 Hughes Rd
Ste 2400
Madison, AL 35758-3038
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Madison Home Health Services, LLCCCN 017880 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 12, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

44 Hughes Rd
Ste 2400
Madison, AL 35758
Phone (256) 325-5400

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Mark C Wicker Individual 5% Or Greater Direct Ownership InterestMember Jul 1, 2022 10%
W-2 Managing EmployeeAdministrator Jul 20, 2022 100%
James P. Walker Individual 5% Or Greater Direct Ownership InterestManager Jan 15, 2021 70%
Corporate OfficerManager Jan 15, 2021 100%
Brian Scheri Individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 10%
Nicholas Beckham Individual 5% Or Greater Direct Ownership InterestMember Jul 1, 2022 10%

Practitioners & affiliated clinicians

Affiliated clinicians 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1821732728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 2400",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583038",
            "telephone_number": "256-724-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-927-7408",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.