Organization Active NPI

Companion & Compassion LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1215420229
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Carllisa WilliamsNPI 1124515440
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 687405
Ownership
-
Certified
Aug 15, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Carllisa Williams Individual 5% Or Greater Direct Ownership InterestAdministrator Aug 8, 2017 100%
Corporate OfficerAdministrator Aug 8, 2017 100%
W-2 Managing EmployeeAd; 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.

Practitioners & affiliated clinicians

Practitioners 5

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

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

Sources for this page

Verify at the official NPI Registry.