Healthcare Provider Details

I. General information

NPI: 1366448441
Provider Name (Legal Business Name): MADISON HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21250 CALIFA ST STE 113
WOODLAND HILLS CA
91367-5025
US

IV. Provider business mailing address

21250 CALIFA ST STE 113
WOODLAND HILLS CA
91367-5025
US

V. Phone/Fax

Practice location:
  • Phone: 818-345-1111
  • Fax: 818-345-1385
Mailing address:
  • Phone: 818-345-1111
  • Fax: 818-345-1385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980000782
License Number StateCA

VIII. Authorized Official

Name: MS. PARISA KOMPANI
Title or Position: ADMINISTRATOR
Credential: HCEMBA
Phone: 818-345-1111