Companion Home Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

15368 Issued in LA

Legal business name

COMPANION HOME SERVICES, LLC

Practice address

668 Jordan
Suite B
Shreveport, LA 71101-4760

Phone

(225) 368-3181

Fax

(225) 757-1104

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Larry Butler

Title

President

Phone

(504) 837-5557

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUPRA Home Care of Shreveport Doing business as

Tax ID family

Companion Home Services LLC2 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.

• Companion Home Services LLC

  • In Home Supportive Care Agency
  • Shreveport, LA
  • NPI 1467887695
  NPD tax ID

Locations

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1306181680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-368-3181",
            "fax_number": "225-757-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 JORDAN",
            "address_2": "SUITE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014760",
            "telephone_number": "225-368-3181",
            "fax_number": "225-757-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-837-5557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "15368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129813",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPRA Home Care of Shreveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.