Senior Companion LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SENIOR COMPANION LLC

Doing business as

Senior Companion

Practice address

557 E Hunter St
Logan, OH 43138-1412

Phone

(727) 314-8877

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Angelia Nichole BaileyNPI 1578303541

Title

Owner

Phone

(614) 369-7477

Specialties & licenses 5

Addresses

Other names 1

• Senior Companion Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelia Nichole Bailey

  • Case Manager/Care Coordinator
  • Logan, OH
  • NPI 1578303541
  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1174116388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381412",
            "telephone_number": "727-314-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381412",
            "telephone_number": "727-314-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR COMPANION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-369-7477",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sites.goog.com/view/seniorcompanion/home",
            "affiliation": "N",
            "endpointDescription": "Senior Companion LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "557 E Hunter St",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431381412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Senior Companion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela M Schetter, RN
• Sunny Schlabach
• Tamara Renee Schwartzwalder
• Selby General Hospital (Department of Primary Care Logan)
• Elizabeth Mary Wilder Semmens, LPC
• Jennifer Lynn Shull, ANP-BC
• Casey Sigler, LPN
• Natalie Simpson, LPN
• Jessica Sisco, LPC
• Miranda S Smathers

• In Home Supportive Care Agency in Logan, OH
• Providers in Logan, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.