BAPTIST HEALTH DEACONESS MADISONVILLE
NPI 1811030257
Rehabilitation Unit in Madisonville, KY

Patient Care Rating: 3 out of 5 stars

NPI Status: Active since February 15, 2007

Contact Information

900 HOSPITAL DR
MADISONVILLE, KY
ZIP 42431
Phone: (270) 825-5100

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Table of Contents

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

Organization
Rehabilitation Unit
Accepts Insurance

About BAPTIST HEALTH DEACONESS MADISONVILLE

This page provides the complete NPI Profile along with additional information for Baptist Health Deaconess Madisonville, a provider established in Madisonville, Kentucky operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1811030257 assigned on February 2007. The practitioner's primary taxonomy code is 273Y00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Baptist Health Deaconess Madisonville. The authorized official of this NPI record is Richard Carrico (Cfo)

NPI: 1811030257
Provider Legal Name: BAPTIST HEALTH DEACONESS MADISONVILLE INC
Other Organization Name: BAPTIST HEALTH DEACONESS MADISONVILLE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 900 HOSPITAL DR MADISONVILLE, KY 42431
Location Phone: (270) 825-5100
Mailing Address: 900 HOSPITAL DR MADISONVILLE, KY 42431
Mailing Phone: (270) 825-5100
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-15-2007
Last Update Date: 08-31-2023
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According to the Home Health Compare program data, Baptist Health Deaconess Madisonville has an average 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 3 out of 5 and summarizes some of the current health care provider performance measures.

Location Map

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: Rehabilitation Unit
Taxonomy Code: 273Y00000X
Type: Hospital Units
License State: KY
Taxonomy Description: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Insurance Plans Accepted

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

Ambetter from Buckeye Health Plan

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter of Tennessee

Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Enhanced Diabetes Care Silver with $0 Drug Options - EPO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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: RICHARD CARRICO
Authorized Official Title: CFO
Authorized Official Phone: (502) 896-5006

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
93000032	MEDICAID (05)	KY

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.	- 3 out of 5 stars - BAPTIST HEALTH DEACONESS MADISONVILLE HOME CARE, LLC performed about the same as most 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.	NonProfit
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.	Yes
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.	Yes
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	07-05-1967
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.	915
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.	85.1%
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.	86.4%
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.	84.9%
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.	87.8%
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.	98.5%
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).	80.7%
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.	70.8%
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.	99.3%
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.	1.2%
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.	99.9%
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.	1.02%

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811030257, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 0 + 3 + 0 + 2 + 1 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1811030257.