U.S. Department of Health & Human Services

Internet Quality Improvement and Evaluation System for Home Health, Ambulatory Surgical, and Hospice Providers

Name: Internet Quality Improvement and Evaluation System for Home Health, Ambulatory Surgical, and Hospice Providers
Creator: U.S. Department of Health & Human Services

Demographic and certification information for Home Health Agencies, Ambulatory Surgical Centers, and Hospice Providers participating in Medicare. Each record includes the business name, street address, city, state, zip code, and phone number of the provider.

Example records

Namelegal entity	Cityaddress	Stateaddress	ZIP Codeaddress	Street Addressaddress	Phonephone number	Prvdr Numberregistration	Mdcd Vndr Numberregistration	Orgnl Prtcptn Datetemporal	Prvdr Type IDclassification	Ssa Cnty Cdgeographic
AID & ASST, INC/MARINER MED SERVICES	NEW LONDON	CT	6320	464 OCEAN AVENUE	8604437222	077127	4044244	1981-01-01	3	50
ADVANCED HOMECARE SERVICES, INC	TONKAWA	OK	74653	212 EAST GRAND	5802338402	377621	458163	1997-08-07	3	230
7 Star Hospice Care Inc	San Bernardino	CA	92408	1264 S Waterman Ave	9095009740	B51769		2023-07-31	12

Use cases

Vendor Credentialing for Home Health Contracting

A health plan or hospital network vetting a home health agency as a contracted partner checks whether the agency holds an active Medicare certification, how long it has participated in the program, and whether it has ever been terminated, to decide whether to proceed with contracting.

NamePrvdr NumberFed Crtfctn Stus NameOrgnl Prtcptn DatePgm Trmntn Cd

Fraud Screening for Medicare Billing Disputes

A fraud investigation unit at a payer or government contractor cross-references claims submitted by a home health or hospice provider against this registry to confirm the billing entity was certified and active during the claim period, flagging any claims from terminated or never-certified providers.

Prvdr NumberMdcd Vndr NumberFed Crtfctn Stus NameCrtfctn DateTrmntn Exprtn Date

Market Sizing for Post-Acute Care Sales Territories

A medical supply or software company building a sales territory model counts active home health, hospice, and ambulatory surgical providers by state and metro area, segmenting by ownership type and service mix to prioritize outreach to the highest-density markets.

Prvdr Type IDControl TypeStateCbsa CdCbsa Urbn Rrl Ind