Active NPI
Companion & Compassion LLC
- Home Health Agency
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMPANION & COMPASSION LLC
- Practice address
- 50 N Laura St Ste 2500
Jacksonville, FL 32202-3646 - Phone
- (904) 502-9052
- Fax
- (904) 515-5647
- NPI assigned
- Jun 13, 2018
- 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
- Carllisa Williams
- Title
- Owner
- Phone
- (904) 502-4851
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
50 N Laura St Ste 2500
Jacksonville, FL 32202-3646
Mailing address
50 N Laura St Ste 2500
Jacksonville, FL 32202-3646
Phone (904) 502-9052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241025002908 | FL | Part A Provider - Home Health Agency | 9133652316 | Practice locations: Jacksonville, FL |
Home health agency certification: CCN 687405
- Legal name
- COMPANION & COMPASSION LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 15, 2025
- Last certification
- Aug 7, 2025
- Organization structure
- LLC
- Incorporated
- Aug 8, 2017 in FL
- Enrollment address
- 6015 Chester Cir
Ste 108
Jacksonville, FL 32217-2270
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Companion & Compassion LLC
- Ownership
- -
- Certified
- Aug 15, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
6015 Chester Cir
Ste 108
Jacksonville, FL 32217
Phone (855) 928-5011
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carllisa Williams | 5% Or Greater Direct Ownership Interest | Aug 8, 2017 | 100% |
| Corporate Officer | Aug 8, 2017 | 100% | |
| W-2 Managing Employee | Jun 1, 2024 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1124515440
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1124515440
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1376314112
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1629878343
-
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
- NPI 1871827279
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1821631045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1215420229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N LAURA ST STE 2500",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322023646",
"telephone_number": "904-502-9052",
"fax_number": "904-515-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N LAURA ST STE 2500",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322023646",
"telephone_number": "904-502-9052",
"fax_number": "904-515-5647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPANION & COMPASSION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CARLLISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-502-4851"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Community Rehabilitation Center Inc
- Community Rehabilitation Center, Inc
- Community Rehabilitation Center, Inc.
- Communityrehabilitation Center Inc
- Communtiy Rehabilitation Center, Inc.
- Companion Connection Home Care LLC
- Companions With Care LLC
- Compass Diagnostics LLC
- Compassion in Action Home Care Services LLC
- Compassionate Care Personal Support Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.