Organization Active NPI

Companion Care Home Health Services Inc

  • Home Health Agency
  • Chardon, OH
National Provider Identifier
1306117114
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
200408902778 Issued in OH
Legal business name
COMPANION CARE HOME HEALTH SERVICES INC
Practice address
11993 Ravenna Rd
2A
Chardon, OH 44024-9013
Phone
(440) 285-0835
Fax
(440) 285-0838
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Bonnie Shahan
Title
Administrator
Phone
(440) 285-0835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 200408902778 OH Primary

Addresses

Primary practice location

11993 Ravenna Rd
2A
Chardon, OH 44024-9013

Mailing address

11993 Ravenna Rd
2A
Chardon, OH 44024-9013
Phone (440) 285-0835

Other identifiers 1

IdentifierTypeStateIssuer
2490353MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Companion Care Home Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11993 Ravenna Rd
Ste 2A
Chardon, OH 44024
Phone (440) 285-0835

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1306117114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11993 RAVENNA RD",
            "address_2": "2A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249013",
            "telephone_number": "440-285-0835",
            "fax_number": "440-285-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11993 RAVENNA RD",
            "address_2": "2A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249013",
            "telephone_number": "440-285-0835",
            "fax_number": "440-285-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION CARE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "SHAHAN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-285-0835"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "200408902778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490353",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.