Companion Home Health, LLC
Organization Active NPI Home Health Agency · Guthrie, OK
NPI 1245233170 · NPPES record last updated Dec 15, 2016
Key facts
- NPI
- 1245233170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 7790 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Donna Bennett, RN, CHCA
- Title
- Administrator
- Phone
- (405) 293-9000
Facilities with the same owner 1
Practitioners 1
Affiliated clinicians 21
-
Terry N Brown, M.D.
-
Steven W. Cummings, M.D.
-
Michael Stephen Elliott, M.D.
-
Jacob Fisher, DO
-
Jeffrey D. Floyd, M.D.
-
Daniel P Hill, M.D.
-
David K Hopkins, DO
-
Jon Mark Johnson Sr., M.D.
-
Todd Anthony Krehbiel, M.D.
-
Kathryn McLerran, M.D.
-
Scott Melson, MD
-
Cathy Nieman, MD
-
Laurie Anne Orme, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Companion Home Health, LLC
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Jan 6, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
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
- LLC · Proprietary
- Incorporated
- Jun 23, 2004 in OK
- Enrollment address
- 1310E Oklahoma Ave
Guthrie, OK 73044-3757
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Tandie D Hastings |
Corporate Officer |
Jun 7, 2018 | 5% |
| Josh Chappell |
W-2 Managing Employee |
Jun 1, 2024 | |
| Operational/Managerial Control | Jun 6, 2018 | 95% | |
| Jeffery W Chappell |
5% Or Greater Indirect Ownership Interest | Aug 1, 2018 | 51% |
| General Partnership Interest | Oct 16, 2004 | 51% | |
| Deborah Chappell |
5% Or Greater Indirect Ownership Interest | Aug 1, 2018 | 49% |
| General Partnership Interest | Jan 18, 2008 | 49% | |
| JDC LLC |
5% Or Greater Direct Ownership Interest | Aug 1, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041006000360 | OK | Part a Provider - Home Health Agency | 5698734606 | Practice locations: Edmond, OK; Guthrie, OK |
National Provider Directory
Locations
1310 E Oklahoma Ave
Guthrie, OK 73044
Phone (405) 282-1686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7790 | OK | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000377683001 | Other | OK | BLUE CROSS BLUE SHIELD |
| 200049690 A | Medicaid | OK |
Other providers in Guthrie, OK
- Stephany Danelle Cleek
- Velicia Coburn
- Coles Nursing Home LLC
- Comfort Dental of Guthrie PLLC
- Companion at Home, LLC
- Companion Hospice LLC
- Lynn Connell
- Douglas Todd Cook
- Kayla Nicole Cook
- Lisa Marie Cook
All providers in Guthrie, OK · Home Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.