Gulf Coast Companion Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GULF COAST COMPANION CARE, LLC

Doing business as

Comfort Keepers

Practice address

1314 Pass Road, Ste B
Gulfport, MS 39501

Phone

(228) 867-9700

Fax

(228) 867-9752

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By 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

Ms. Jennifer Lynn Gill

Title

Owner

Phone

(228) 867-9700

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers Doing business as

Locations

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1093361156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PASS ROAD, STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-867-9700",
            "fax_number": "228-867-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PASS ROAD, STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-867-9700",
            "fax_number": "228-867-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST COMPANION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-867-9700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Hammon Guillotte, AU.D.
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• Gulf Coast Anesthesia Services PC
• Gulf Coast Brain & Spine Institute
• Gulf Coast Dental Care, PLLC
• Gulf Coast Dental Center
• Gulf Coast Dermatology, PA
• Gulf Coast Ear Nose and Throat Associates, LLC
• Gulf Coast Endocrinology

• Home Health Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.