Organization Active NPI

Companion Care Providers LLC

  • Home Health Aide
  • Ferndale, MI
National Provider Identifier
1053130450
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
COMPANION CARE PROVIDERS LLC
Practice address
1938 Burdette St Ste 1
Ferndale, MI 48220-1982
Phone
(313) 471-8407
NPI assigned
Oct 3, 2024
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mr. Robert L Barksdale
Title
Owner
Phone
(313) 471-8407

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Aide 374U00000X Primary
In Home Supportive Care Agency 253Z00000X
Meals Provider 174200000X

Addresses

Primary practice location

1938 Burdette St Ste 1
Ferndale, MI 48220-1982

Mailing address

535 Griswold St Ste 111-540
Detroit, MI 48226-3604
Phone (313) 471-8407

National Provider Directory

National Provider Directory

Locations

535 Griswold St
Ste 111540
Detroit, MI 48226

1938 Burdette St
Ste 1
Ferndale, MI 48220
Phone (313) 471-8407

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1053130450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GRISWOLD ST STE 111-540",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263604",
            "telephone_number": "313-471-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 BURDETTE ST STE 1",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201982",
            "telephone_number": "313-471-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BARKSDALE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-471-8407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.