MADIGAN HOME HEALTH CARE INC
NPI 1700908555
Home Health in Houlton, ME

Patient Care Rating: 4 out of 5 stars

NPI Status: Active since April 04, 2007

Contact Information

93 MILITARY ST
HOULTON, ME
ZIP 04730
Phone: (207) 532-7480

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Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Nursing Home Compare Information
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Home Health
Accepts Insurance
CLIA Number: 20D0913061
CLIA Cert. Type: Home Health Agency
CLIA Exp. Date: 03-19-2026

About MADIGAN HOME HEALTH CARE INC

This page provides the complete NPI Profile along with additional information for Madigan Home Health Care Inc, a provider established in Houlton, Maine operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1700908555 assigned on April 2007. The practitioner's primary taxonomy code is 251E00000X with license number 2815 (ME). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jim Brown (Administrator)

NPI: 1700908555
Provider Name: MADIGAN HOME HEALTH CARE INC
Entity Type: Organization
Location Address: 93 MILITARY ST HOULTON, ME 04730
Location Phone: (207) 532-7480
Mailing Address: 93 MILITARY ST HOULTON, ME 04730
Mailing Phone: (207) 532-7480
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-04-2007
Last Update Date: 08-22-2020
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According to the Home Health Compare program data, Madigan Home Health Care Inc has overall quality rating based on the provider's performance on seven separate quality measures including: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations. The Quality of Patient Star Rating for this provider is 4.5 out of 5 and summarizes some of the current health care provider performance measures.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Home Health
Taxonomy Code: 251E00000X
Type: Agencies
License No.: 2815
License State: ME
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

Harvard Pilgrim Health Care

NH Local Choice HMO Bronze 8000 - HMO
NH Local Choice HMO Gold - HMO
NH Local Choice HMO Gold 1400 - HMO
NH Local Choice HMO HSA Bronze 6000 - HMO
NH Local Choice HMO Silver 3500 - HMO
NH Local Choice HMO Silver 5000 - HMO
NH Local HMO Bronze 7500 Standard - HMO
NH Local HMO Gold 1500 Standard - HMO
NH Local HMO Silver 5000 Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JIM BROWN
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (207) 532-6593

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.

The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.

Quality of Patient Care Rating Quality of Patient Care Rating The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency's performance compared to other agencies.	- 4 out of 5 stars - MADIGAN HOME HEALTH CARE, INC. performed better than most other agencies on selected measures.
Ownership Type Ownership Type Home health agencies can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. The type of ownership may affect agency resources and how services are organized. Quality can vary in home health agencies within each of the different types of ownership. Each agency needs to be judged on its own merits.	Proprietary
Offers Nursing Care Offers Nursing Care? The home health agency offers care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that's part time and intermittent.	Yes
Offers Physical Therapy Offers Physical Therapy? The home health agency offers treatment of injury and disease by mechanical means, like heat, light, exercise, and massage.	Yes
Offers Occupational Therapy Offers Occupational Therapy? The home health agency offers services given to help you return to usual activities (like bathing, preparing meals, and housekeeping) after illness either on an inpatient or outpatient basis.	Yes
Offers Speech Therapy Offers Speech Therapy? The home health agency offers services to assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, like a stroke.	No
Offers Medical Social Services Medical Social Services? The home health agency offers services to help with social and emotional concerns related to your illness. This might include counseling or help in finding resources in your community.	No
Offers Home Health Aide Offers Home Health Aide? The home health agency offers part time or intermittent services to help with daily living activities.	Yes
Medicare Certification Date	03-21-1996
Number of episodes used to calculate how much Medicare spends at this agency Number of episodes used to calculate how much Medicare spends at this agency Number of episodes of care used to calculate how much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally.	132
How often patients got better at walking or moving around? How often patients got better at walking or moving around? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to ambulate.	100%
How often patients got better at getting in and out of bed? How often patients got better at getting in and out of bed? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to get in and out of bed.	100%
How often patients got better at bathing? How often patients got better at bathing? This quality measure shows the percentage of home health quality episodes during which the patient got better at bathing self.	100%
How often patients' breathing improved? How often patients' breathing improved? This quality measure shows the percentage of home health quality episodes during which the patient became less short of breath or dyspneic.	97.8%
How often the home health team began their patients' care in a timely manner? How often the home health team began their patients' care in a timely manner? This quality measure shows the percentage of episodes of care initiated or resumed on the date the physician ordered, or within within 24-48 hours of referral.	100%
How often patients got better at taking their drugs correctly by mouth? How often patients got better at taking their drugs correctly by mouth? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to take their medicines correctly (by mouth).	70.8%
How often the home health team made sure that their patients have received a flu shot for the current flu season? How often the home health team made sure that their patients have received a flu shot for the current flu season? This quality measure shows the percentage of home health quality episodes during which patients received the influenza immunization for the current flu season.	88.9%
How often physician-recommended actions to address medication issues were completed timely? How often physician-recommended actions to address medication issues were completed timely? This quality measure shows the percentage of home health quality episodes forwhich a drug regimen review was conducted at the start of care or resumption of care and completion of recommended actions from timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that quality episode.	100%
Percent of Residents Experiencing One or More Falls with Major Injury How often a patient had one or more falls with a major injury? This measure reports the percentage of patients who suffer falls that may result in major injuries and are a risk for patients living at the health home.	2.2%
Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment How often a patient has an admission and discharge functional assessment and an admission care plan that addresses function? This measure displays hows how often the home health team completed a functional assessment for patients at both admission and discharge, and developed a functional care plan at admission.	100%
How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? This measure evaluates Home Health resource use relative to the resource use of the national median of all Home Health providers. Specifically, the measure assesses the Medicare spending performed by the Home Health provider and other healthcare providers during an MSPB-PAC episode.	1.05%

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 20D0913061
Facility Type: Home Health Agency
Certificate Effective Date: March 20, 2024
Certificate Expiration Date: March 19, 2026
Laboratory Director: HASSAN E. ABOULEISH MD
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Madigan Home Health Care Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	0	0	9	0	8	5	5	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	0	0	18	0	16	5	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 0 + 1 + 6 + 5 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1700908555 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1982932364	MAPLE GROVE NURSING HOME INC Organization	Alzheimer Center (Dementia Center)	93 MILITARY ST HOULTON, ME 04730 (207) 532-6593
1831428531	MAPLE GROVE NURSING HOME INC Organization	Custodial Care Facility (Adult Care Home)	93 MILITARY ST HOULTON, ME 04730 (207) 532-6593
1982912507	TERRI RING Individual	Physical Therapist	93 MILITARY ST HOULTON, ME 04730 (207) 532-7480
1184932717	ANNETTE BOUTILIER Individual	Occupational Therapist	93 MILITARY ST HOULTON, ME 04730 (207) 532-6593
1770348922	DR. DAKOTA HOWLAND PT, DPT Individual	Physical Therapist	93 MILITARY ST HOULTON, ME 04730 (207) 532-6593
1871614859	MAPLE GROVE NURSING HOME INC Organization	Nursing Facility/Intermediate Care Facility	93 MILITARY ST HOULTON, ME 04730 (207) 532-6593

Frequently Asked Questions

What is MADIGAN HOME HEALTH CARE INC NPI number?

The NPI number assigned to this healthcare provider is 1700908555, enumerated in the NPI registry as an "organization" on April 04, 2007

Where is the provider located?

The provider is located at 93 Military St Houlton, Me 04730 and the phone number is (207) 532-7480

What is the provider specialty code?

This medical organization specializes in Home Health with taxonomy code 251E00000X

What insurance does MADIGAN HOME HEALTH CARE INC accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

What is MADIGAN HOME HEALTH CARE INC CLIA number?

The provider's CLIA number is 20D0913061 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

This NPI record was last updated on April 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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