Companion Caregiver Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMPANION CAREGIVER SERVICES INC

Practice address

4066 Evans Ave Ste 7
Fort Myers, FL 33901-9354

Phone

(239) 682-0603

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Jocelyne Clarke

Title

Owner

Phone

(239) 682-0603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1073124541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019354",
            "telephone_number": "239-682-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019354",
            "telephone_number": "239-682-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION CAREGIVER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JOCELYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-682-0603"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Aug 10, 2020; 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.