Organization Active NPI

Companionship Health Provider, Inc

  • Home Health Agency
  • Vallejo, CA
National Provider Identifier
1265607030
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPANIONSHIP HEALTH PROVIDER, INC
Doing business as
CoHP
Practice address
2608 Springs Rd
Suite B
Vallejo, CA 94591-5713
Phone
(707) 534-7772
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. Jett Asinas Mercado, MPA
Title
Ceo
Phone
(707) 853-7042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

2608 Springs Rd
Suite B
Vallejo, CA 94591-5713

Mailing address

2608 Springs Rd
Suite B
Vallejo, CA 94591-5713
Phone (707) 534-7772

Other names 1

  • CoHP Doing business as

National Provider Directory

National Provider Directory

Locations

2608 Springs Rd
Ste B
Vallejo, CA 94591
Phone (707) 534-7772

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1265607030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 SPRINGS RD",
            "address_2": "SUITE B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915713",
            "telephone_number": "707-534-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 SPRINGS RD",
            "address_2": "SUITE B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915713",
            "telephone_number": "707-534-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANIONSHIP HEALTH PROVIDER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "JETT",
        "authorized_official_middle_name": "ASINAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-853-7042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoHP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.