NPIMap

Organization Active NPI

Companion Home Health, LLC

  • Home Health Agency
  • Guthrie, OK
National Provider Identifier
1245233170
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7790 Issued in OK
Legal business name
COMPANION HOME HEALTH, LLC
Practice address
1310 E Oklahoma Ave
Guthrie, OK 73044-3757
Phone
(405) 282-3402
Fax
(405) 282-3421
NPI assigned
May 24, 2005
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Mrs. Donna Bennett, RN, CHCA
Title
Administrator
Phone
(405) 293-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7790 OK Primary

Addresses

Primary practice location

1310 E Oklahoma Ave
Guthrie, OK 73044-3757

Mailing address

1310 E Oklahoma Ave
Guthrie, OK 73044-3757
Phone (405) 293-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006000360 OK Part A Provider - Home Health Agency 5698734606 Practice locations: Edmond, OK; Guthrie, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245233170. Details of each certification follow.

Home health agency certification: CCN 377683

Legal name
COMPANION HOME HEALTH, LLC
Doing business as
COMPANION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 6, 2005
Last certification
Aug 7, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 23, 2004 in OK
Enrollment address
1310E Oklahoma Ave
Guthrie, OK 73044-3757

Care Compare: Home health agency

Medicare Care Compare
Listed as
Companion Home Health, LLCCCN 377683 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 6, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1261 E 33rd St
Edmond, OK 73013
Phone (405) 341-9751

901 S Bryant Ave
Ste D
Edmond, OK 73034
Phone (405) 341-9751

1310 E Oklahoma Ave
Guthrie, OK 73044
Phone (405) 282-1686

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tandie D Hastings Individual Corporate OfficerMmanaging Member Jun 7, 2018 5%
Josh Chappell Individual W-2 Managing EmployeeAd; Jun 1, 2024
Operational/Managerial Control Jun 6, 2018 95%
Jeffery W Chappell Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2018 51%
General Partnership Interest Oct 16, 2004 51%
Deborah Chappell Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2018 49%
General Partnership Interest Jan 18, 2008 49%
JDC LLC Organization, Guthrie, OK LLC 5% Or Greater Direct Ownership Interest Aug 1, 2018 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1245233170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E OKLAHOMA AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443757",
            "telephone_number": "405-293-9000",
            "fax_number": "405-293-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E OKLAHOMA AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443757",
            "telephone_number": "405-282-3402",
            "fax_number": "405-282-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-293-9000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, CHCA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.