Ellison Home Care Companion Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2254-L Issued in NY

Legal business name

ELLISON HOME CARE COMPANION AGENCY, INC.

Practice address

1747 Veterans Memorial Hwy
Suite 44
Islandia, NY 11749-1534

Phone

(631) 576-4060

Fax

(631) 513-4699

NPI assigned

Jan 1, 2016

Last updated

Jan 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cedric Ellison

Title

Secretary/Treasurer

Phone

(631) 576-4060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451606400000",
    "number": "1053777300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 44",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491534",
            "telephone_number": "631-576-4060",
            "fax_number": "631-513-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 44",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491534",
            "telephone_number": "631-576-4060",
            "fax_number": "631-513-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLISON HOME CARE COMPANION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-01-01",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "631-576-4060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2254-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2016; 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.