MADISON HOUSE ASSISTED LIVING (NPI# 1902178643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902178643 |
| Entity Type | Organization |
| Organization Name | MADISON HOUSE ASSISTED LIVING |
| Practice Address |
3910 Dixie Hwy Madison GA 30650-3431 |
| Mailing Address |
167 W Jefferson St Madison GA 30650-1367 |
| Practice Telephone | 7064743722 |
| Practice Fax Number | 7065570203 |
| Mailing Telephone | 7063424514 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | ALBERT MIGUEL PERERA (OWNER) |
| Authorized Official Telephone | 7063424514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 104030011 | GA | Nursing & Custodial Care Facilities |
| Street Address |
3910 DIXIE HWY |
| City | MADISON |
| State | GA |
| Zip Code | 30650-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1942791470 | Kristin Barnett | Social Worker | 256 W Washingtonst, Madison, GA 30650 | 2018-05-21 |
| 1710474275 | M S Publishing and Consulting LLC | Counselor | 256 W. Washiington Street, Madison, GA 30650 | 2018-04-19 |
| 1558818013 | Whitney Rena Walker | Technician | 778 Cooks Hill Rd, Madison, GA 30650 | 2016-09-01 |
| 1023366739 | Xcalibur | Durable Medical Equipment & Medical Supplies | 1071 Hanover Dr, Madison, GA 30650 | 2012-08-28 |
| 1629392170 | Tammy W Rustin | Pharmacist | 1441 Eatonton Rd, Ingles Pharmacy #444, Madison, GA 30650 | 2010-03-25 |
| 1861534463 | John Frederick Mcnees II | Optometrist | 173 So Main St, Madison, GA 30650 | 2007-02-12 |
| 1780746750 | Jacqueline Lamar Gruszynski | Speech-Language Pathologist | 1760 Westminister Way, Madison, GA 30650 | 2006-12-15 |
| 1003917535 | Marilyn S Snow | Counselor | 256 W Washington St, Madison, GA 30650 | 2006-09-26 |
| Find all providers in zip 30650 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558747 | Waymaker Enterprises, LLC | Assisted Living Facility | 204 Bradfield Rd, Madison, MS 39110-7035 | 2020-05-06 |
| 1073132684 | Hope Reality, LLC | Assisted Living Facility | 5510 Forge Dr, Madison, WI 53716-2454 | 2020-04-14 |
| 1184262164 | Stacey Daniels | Assisted Living Facility | 183 Se Columbus Trl, Madison, FL 32340-3100 | 2019-12-20 |
| 1376028332 | Charlotte F Kister | Assisted Living Facility | 2358 Hubbard Road, Madison, OH 44057 | 2018-09-26 |
| 1689041865 | Crystal Fountain Home Services LLC | Assisted Living Facility | 1912 N State Road 53, Madison, FL 32340-3947 | 2015-08-24 |
| 1659755809 | Madison Senior Living, Inc. | Assisted Living Facility | 705 Ziegler Rd, Madison, WI 53714-1339 | 2015-07-17 |
| 1740690171 | Florida Assistant Living Organization, LLC | Assisted Living Facility | 219 Se Abernathy Way, Madison, FL 32340-7044 | 2014-05-07 |
| 1720498215 | Florida Assistant Living Organization, LLC | Assisted Living Facility | 585 Se Lakeshore Dr, Madison, FL 32340-2734 | 2014-05-06 |
| 1407292238 | Troyandjennyenterprises,inc | Assisted Living Facility | 765 Ne Delphinium Dr, Madison, FL 32340-5412 | 2013-05-20 |
| 1043589799 | Grace Haven Assisted Living LLC | Assisted Living Facility | 301 E 3rd Street, Madison, MN 56256 | 2011-12-27 |
| Find all providers in MADISON | ||||
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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.