McCoys Companion Group Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MCCOYS COMPANION GROUP HOME, LLC

Practice address

6108 Gamble Dr
Orlando, FL 32808-5453

Phone

(689) 242-1026

NPI assigned

Jul 19, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Natacha Cajuste, CNA

Title

Ceo

Phone

(689) 242-1026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1265270433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 GAMBLE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085453",
            "telephone_number": "689-242-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 GAMBLE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085453",
            "telephone_number": "689-242-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOYS COMPANION GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "CAJUSTE",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "689-242-1026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talanda McCormick, ARNP
• Cathrine Lynn McCoy, PHARMD
• Jessie Lee McCoy, C-AA
• Karen Ann McCoy
• Todd D McCoy, PA-C
• Jessica McCracken, LMT
• Alexandra Paige McCrary
• Crystal McCray
• Sharnaye Lakyra McCray
• Yolanda Albertha McCray

• Home Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.