Provider Demographics
NPI:1255798450
Name:MADISON HEALTH LLC
Entity type:Organization
Organization Name:MADISON HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAITHIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-378-3039
Mailing Address - Street 1:11778 MELROSE ST
Mailing Address - Street 2:#69
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3822
Mailing Address - Country:US
Mailing Address - Phone:913-378-3039
Mailing Address - Fax:
Practice Address - Street 1:11778 MELROSE ST
Practice Address - Street 2:#69
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-3822
Practice Address - Country:US
Practice Address - Phone:913-378-3039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health