Organization Active NPI

Home Companions of Lake Co., Inc

  • Home Health Agency
  • Eustis, FL
National Provider Identifier
1063716975
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992225 Issued in FL
Legal business name
HOME COMPANIONS OF LAKE CO., INC
Practice address
2785 S Bay St Ste D
Eustis, FL 32726-6591
Phone
(352) 483-3086
Fax
(352) 483-3136
NPI assigned
Jan 6, 2011
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Ms. Avie Lee Keith
Title
Accounts Manager
Phone
(352) 483-3086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992225 FL Primary

Addresses

Primary practice location

2785 S Bay St Ste D
Eustis, FL 32726-6591

Mailing address

PO Box 148
Tavares, FL 32778-0148
Phone (352) 483-3086

National Provider Directory

National Provider Directory

Locations

2785 S Bay St
Ste D
Eustis, FL 32726
Phone (352) 483-3086

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1063716975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327780148",
            "telephone_number": "352-483-3086",
            "fax_number": "352-483-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 S BAY ST STE D",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266591",
            "telephone_number": "352-483-3086",
            "fax_number": "352-483-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME COMPANIONS OF LAKE CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "AVIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "352-483-3086",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.