MADISON HEALTH AND REHAB
NPI 1457365017
Skilled Nursing Facility in Madison, GA
Overall Rating: 2 out of 5 stars
NPI Status: Active since July 28, 2006
Contact Information
2036 S MAIN ST
MADISON, GA
ZIP 30650
Phone: (706) 342-3200
Fax: (706) 342-0028
- Organization
- Skilled Nursing Facility
- CLIA Number: 11D0882305
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 01-30-2026
About MADISON HEALTH AND REHAB
Madison Health And Rehab is a provider established in Madison, Georgia operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1457365017 assigned on July 2006. The practitioner's primary taxonomy code is 314000000X with license number 1-104-1639 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Madison Health And Rehab. The authorized official of this NPI record is Terrell Buford Cook (Coo)
- NPI
- 1457365017
- Provider Legal Name
- PINE LEAF INVESTMENT INC.
- Other Organization Name
- MADISON HEALTH AND REHAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2036 S MAIN ST MADISON, GA 30650
- Location Phone
- (706) 342-3200
- Location Fax
- (706) 342-0028
- Mailing Address
- 2036 S MAIN ST MADISON, GA 30650
- Mailing Phone
- (706) 342-3200
- Mailing Fax
- (706) 342-0028
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 05-19-2013
- Code Navigator
According to the Nursing Home Compare program data, Madison Health And Rehab has a below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 2 out of 5 stars provide a snapshot of this nursing home quality.
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 1-104-1639
- License State
- GA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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 Pathway Guided Access HMO 0% for HSA - HMO
- Anthem Bronze Pathway Guided Access HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway Guided Access HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway Guided Access HMO 7500/50% Standard - HMO
- Anthem Bronze Pathway Guided Access HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 0% for HSA - HMO
- Anthem Bronze Pathway HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 7500/50% Standard - HMO
- Anthem Bronze Pathway HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway PCP Copay Choice X 6000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway X Guided Access HMO 7500/50% Standard - HMO
- Anthem Catastrophic Pathway X Guided Access HMO 9450 - HMO
- Anthem Catastrophic Pathway X HMO 9450 - HMO
- Anthem Gold Pathway Guided Access HMO 1350($0 Virtual PCP+$0 Select Drugs) - HMO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115457 | MEDICARE OSCAR/CERTIFICATION (06) | GA | |
| 000083278A | MEDICAID (05) | GA |
Nursing Home Quality Information
The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.
| Overall Quality Rating | - 2 out of 5 stars - Below Average |
| The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures. | |
| Health Inspection Rating | - 2 out of 5 stars - Below Average |
| The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections. | |
| Quality Measures Rating | - 4 out of 5 stars - Above Average |
| The quality measures star rating is based on data from a select set of clinical measures. | |
| Long-Stay Quality Measures Rating | - 4 out of 5 stars - Above Average |
| The long-stay quality of care rating is based on the quality of care delivered to long-term residents only. | |
| Short-Stay Quality Measures Rating | - 5 out of 5 stars - Much Above Average |
| The short-stay quality of care rating is based on the quality of care delivered to temporary residents only. | |
| Staffing Rating | - 2 out of 5 stars - Below Average |
| The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides. | |
| Nurse Aide Staffing Hours | 1.87 hours per resident per day |
| Nurse aide hours per resident per day. Higher number of hours are better. | |
| RN Staffing Hours | 0.35 hours per resident per day |
| Resgistered nurse hours per resident per day. Higher number of hours are better. | |
| RN Staff Turnover | 42.9% |
| Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year. | |
| Administrator Turnover | 1 |
| Number of administrators who left the nursing home within a given year. | |
| Ownership Type | For profit - Limited Liability company |
| Is the facility private for profit, not-for profit or publicly owned. | |
| Number of Certified Beds | 70 beds |
| Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs. | |
| Residents per Day | 61 residents |
| Average number of residents living in the facility per day. | |
| Automatic Sprinkler Systems | Yes |
| Does the facility have automatic sprinkler systems in all required areas? | |
| Facility Reported Incidents | 0 incidents |
| Number of facility-reported incidents in the past 3 years. A lower number is better. | |
| Substantiated Complaints | 1 complaints |
| Number of substantiated complaints in the past 3 years. A lower number is better. | |
| Citations from Inspections | 0 citations after infection control inspection |
| Number of citations from infection control inspections in the past 3 years. A lower number is better. | |
| Total Number of Penalties | 1 penalties from a serious health, fire safety or long-term unresolved citation |
| The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time. | |
| Number of Fines | 1 fines |
| Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare. | |
| Amount of Fines | $650.00 |
| Total monetary amount of fine imposed on the facility in the last 3 years. | |
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
- 11D0882305
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- January 31, 2024
- Certificate Expiration Date
- January 30, 2026
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Madison Health And Rehab 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.
Reviews for MADISON HEALTH AND REHAB
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 4 | 5 | 7 | 3 | 6 | 5 | 0 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 6 | 6 | 10 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 6 + 6 + 1 + 0 + 0 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1457365017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457365017, enumerated in the NPI registry as an "organization" on July 28, 2006
The provider is located at 2036 S Main St Madison, Ga 30650 and the phone number is (706) 342-3200
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0882305 for a "skilled nursing facility/nursing facility" 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..
The Overall Quality Rating for this nursing home is 2 out of 5 stars which is below average when compared to other nursing homes. The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
This NPI record was last updated on July 28, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.