Individual provider · NPI-1

Madison Nicole Mccall, BSHA, QIDP, CDP

In Home Supportive Care · Springfield, IL

NPI number1619672813

StatusActive

Last updated in NPPESNov 5, 2026

Details

NPI: 1619672813
Entity type: Individual (NPI-1)
Name: Madison Nicole Mccall
Credential: BSHA, QIDP, CDP
Sex: Female
Sole proprietor: Yes
Enumeration date: Apr 5, 2023
Certification date: Nov 5, 2026
Last updated: Nov 5, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
385H00000X	Respite Care	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
376J00000X	Homemaker	–	–
373H00000X	Day Training/Habilitation Specialist	–	–
172V00000X	Community Health Worker	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–
251B00000X	Case Management	–	–
171400000X	Health & Wellness Coach	–	–
247000000X	Technician, Health Information	–	–
104100000X	Social Worker	–	–
171M00000X	Case Manager/Care Coordinator	–	–

Practice location

1011 S Grand Ave W
Springfield, IL 62704-3550

Phone 217-927-7333 · Fax 217-679-1415

Mailing address

1011 S Grand Ave W
Springfield, IL 62704-3550

Phone 217-725-1851 · Fax 217-679-1415

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