MADISON HOME CARE LLC NPI 1275904070

NPI Details

MADISON HOME CARE LLC is a home health in Madison, WI. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MADISON HOME CARE LLC NPI is 1275904070. The provider is registered as an organization entity type.

The provider's business location address is:

2317 INTERNATIONAL LN
STE 114
MADISON, WI
ZIP 53704-129
Phone: (612) 354-0587

The provider's authorized official is Samsam A Mohamed .
The authorized official title is Owner and has the following contact phone number (612) 354-0587.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: