Active NPI
Caregiver & Companion Care LLC
- In Home Supportive Care Agency
- Tampa, FL
National Provider Identifier
1073174223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CAREGIVER & COMPANION CARE LLC
- Practice address
- 1020 W Busch Blvd
Tampa, FL 33612-7704 - Phone
- (813) 531-0360
- Fax
- (813) 252-9688
- NPI assigned
- Jun 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dora Maria Mejia, IN HOME SUPPORT
- Title
- Administrator
- Phone
- (813) 531-0360
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Custodial Care Facility | 311Z00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
1020 W Busch Blvd
Tampa, FL 33612-7704
Mailing address
1020 W Busch Blvd
Tampa, FL 33612-7704
Phone (813) 531-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102558700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1020 W Busch Blvd
Tampa, FL 33612
Phone (813) 531-0360
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Tampa, FL
- NPI 1316437221
Custodial Care Facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1073174223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 W BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127704",
"telephone_number": "813-531-0360",
"fax_number": "813-252-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127704",
"telephone_number": "813-531-0360",
"fax_number": "813-252-9688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREGIVER & COMPANION CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-27",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "MEJIA",
"authorized_official_first_name": "DORA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-531-0360",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "IN HOME SUPPORT"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102558700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.