Christian Companion Senior Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

11128 Issued in AR

Legal business name

CHRISTIAN COMPANION SENIOR CARE

Practice address

521 S Bryan Ave
North Platte, NE 69101-5604

Phone

(308) 530-6027

Fax

(877) 455-6041

NPI assigned

Jul 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry Sides

Title

Executive Director

Phone

(308) 530-6027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1124383138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S BRYAN AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015604",
            "telephone_number": "308-530-6027",
            "fax_number": "877-455-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S BRYAN AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015604",
            "telephone_number": "308-530-6027",
            "fax_number": "877-455-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMPANION SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "308-530-6027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "11128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child and Family Therapy Institute of Nebraska LLC
• Heather Childears, M.A.
• Jacob Lee Childers
• Lauren Marie Christen, PT
• Dustin Christensen, DPM
• Stephanie Cissell
• Jason Michael Citta, M.D.
• City of North Platte
• Rochelle Clair
• Kylee Clark

• Home Health Agency in North Platte, NE
• Providers in North Platte, NE by specialty
• Home Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.