MADISON HEALTHCARE SERVICES (NPI# 1306832795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306832795 |
| Entity Type | Organization |
| Organization Name | MADISON HEALTHCARE SERVICES |
| Other Organization Name | MADISON LUTHERAN HOME |
| Practice Address |
900 2nd Ave Madison MN 56256-1006 |
| Practice Telephone | 3205987536 |
| Practice Fax Number | 3205983940 |
| Mailing Telephone | 3205987536 |
| Mailing Fax Number | 3205983940 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MRS. CAROL M BORGERSON (CFO) |
| Authorized Official Telephone | 3206987152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 327711 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 134242800 | 05 | |
| MN | MN BLUE CROSS BLUE SHIELD | 8795MA | 01 |
| Other Name | Type Code |
|---|---|
| Madison Lutheran Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386741684 | Madison Healthcare Services | Home Health | 900 Second Avenue, Madison, MN 56256-1006 | 2006-09-20 |
| 1326479932 | Madison Healthcare Services | Clinic/Center | 900 2nd Ave, Madison, MN 56256-1006 | 2013-12-06 |
| 1639273196 | Madison Healthcare Services | Clinic/Center | 900 2nd Ave, Madison, MN 56256-1006 | 2006-09-12 |
| 1942246848 | Madison Healthcare Services | Medicare Defined Swing Bed Unit | 820 3rd Ave, Madison, MN 56256-1014 | 2006-06-21 |
| Street Address |
900 2ND AVE |
| City | MADISON |
| State | MN |
| Zip Code | 56256-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083272066 | Victoria Marquardt | Occupational Therapist | 900 2nd Ave, Madison, MN 56256-1006 | 2019-06-04 |
| 1225548738 | Melanie Miller | Nurse Practitioner | 900 2nd Ave, Madison, MN 56256-1006 | 2017-10-10 |
| 1215308077 | Paul E Hodge | Nurse Practitioner | 900 2nd Ave, Madison, MN 56256-1006 | 2015-10-19 |
| 1326479932 | Madison Healthcare Services | Clinic/Center | 900 2nd Ave, Madison, MN 56256-1006 | 2013-12-06 |
| 1134462765 | Maria Nolte | Family Medicine | 900 2nd Ave, Madison, MN 56256-1006 | 2013-04-02 |
| 1598075970 | Maribeth Olson | Physician Assistant | 900 2nd Ave, Madison, MN 56256-1006 | 2010-10-19 |
| 1629267364 | Sanford Home Health | Hospice Care, Community Based | 900 2nd Ave, Madison, MN 56256-1006 | 2007-10-18 |
| 1588859508 | Grace Berry | Audiologist | 900 2nd Ave, Madison, MN 56256-1006 | 2007-09-12 |
| 1528128410 | Michael Eugene Deyo | Physician Assistant | 900 2nd Ave, Madison, MN 56256-1006 | 2006-12-11 |
| 1942360870 | Laura Pons Hong | Family Medicine | 900 2nd Ave, Madison, MN 56256-1006 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043589799 | Grace Haven Assisted Living LLC | Assisted Living Facility | 301 E 3rd Street, Madison, MN 56256 | 2011-12-27 |
| 1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
| 1659443679 | Kim Renae Kuechenmeister | Technician/Technologist | 323 Sixth Avenue, Madision, MN 56256 | 2006-11-14 |
| 1033209424 | City of Madison | Ambulance | 301 1st Street, Madison, MN 56256 | 2006-10-13 |
| 1376587907 | Brandon Lee Ulstad | Dentist | 622 3rd St, Madison, MN 56256 | 2006-06-15 |
| 1386741684 | Madison Healthcare Services | Home Health | 900 Second Avenue, Madison, MN 56256-1006 | 2006-09-20 |
| 1942246848 | Madison Healthcare Services | Medicare Defined Swing Bed Unit | 820 3rd Ave, Madison, MN 56256-1014 | 2006-06-21 |
| 1144266156 | Lac Qui Parle Clinic of Madison, Inc | Clinic/Center | 820 3rd Ave, Madison, MN 56256-1014 | 2006-06-20 |
| 1457580433 | Lac Qui Parle County Family Service Center | Public Health or Welfare | 930 1st Ave, Madison, MN 56256-1053 | 2009-07-10 |
| 1730242199 | Rice Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 105 6th Ave, Madison, MN 56256-1300 | 2006-12-18 |
| Find all providers in zip 56256 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| 1356629968 | Melanie Jeannine Johnston | Skilled Nursing Facility | 248 Geneva Blvd, Madison, MS 39110-7739 | 2011-07-31 |
| 1649425034 | Krizia Villanueva | Skilled Nursing Facility | 316 S Broom St, Madison, WI 53703-4076 | 2008-11-26 |
| 1326214578 | Dylan Ponchaud | Skilled Nursing Facility | 947 E Johnson St Apt 1, Madison, WI 53703-1672 | 2008-05-07 |
| 1144493404 | Sara M Bakken | Skilled Nursing Facility | 718 Jupiter Dr, Madison, WI 53718-2950 | 2008-04-08 |
| 1982888277 | Oakwood Village East Lutheran Homes, Inc | Skilled Nursing Facility | 5833 American Pkwy, Madison, WI 53718 | 2007-12-21 |
| 1316011513 | Nc Leasing, LLC | Skilled Nursing Facility | 1308 Highway 51, Madison, MS 39110-7205 | 2006-11-20 |
| 1710056940 | Watrous Nursing Center Inc. | Skilled Nursing Facility | 9 Neck Rd, Madison, CT 06443-2819 | 2006-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.