Provider Demographics
NPI:1710021258
Name:MADISON HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:MADISON HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:OBIESIE
Authorized Official - Last Name:ONYEBINACHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-426-3248
Mailing Address - Street 1:8006 OLD MADISON PIKE
Mailing Address - Street 2:SUITE 20-M
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-1452
Mailing Address - Country:US
Mailing Address - Phone:256-325-0323
Mailing Address - Fax:256-325-0323
Practice Address - Street 1:8006 OLD MADISON PIKE
Practice Address - Street 2:SUITE 20-M
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-1452
Practice Address - Country:US
Practice Address - Phone:256-325-0323
Practice Address - Fax:256-325-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health