Organization Active NPI

Personal Companions Home Care LLC

  • Home Health Agency
  • Blue Ash, OH
National Provider Identifier
1003312786
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONAL COMPANIONS HOME CARE LLC
Practice address
9420 Towne Square Ave Ste 18
Blue Ash, OH 45242
Phone
(513) 442-0082
Fax
(513) 442-4188
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kayla BankheadNPI 1144763996
Title
Owner
Phone
(513) 332-1993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

9420 Towne Square Ave Ste 18
Blue Ash, OH 45242

Mailing address

9420 Towne Square Ave Ste 18
Blue Ash, OH 45242-6910
Phone (513) 442-0082

Other identifiers 1

IdentifierTypeStateIssuer
0321565MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105002774 OH Part B Supplier - Mass Immunization (Roster Biller Only) 0143611947 Practice locations: Blue Ash, OH

National Provider Directory

National Provider Directory
Tax ID family
Personal Companions Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9420 Towne Square Ave
Ste 18
Blue Ash, OH 45242
Phone (513) 442-0082

6225 Colerain Ave
Ste C
Cincinnati, OH 45239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1003312786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 TOWNE SQUARE AVE STE 18",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426910",
            "telephone_number": "513-442-0082",
            "fax_number": "513-442-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 TOWNE SQUARE AVE STE 18",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-442-0082",
            "fax_number": "513-442-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL COMPANIONS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "BANKHEAD",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-332-1993"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321565",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.