Organization Active NPI

Companion Home Corp.

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1326244245
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL7893 Issued in FL
Legal business name
COMPANION HOME CORP.
Practice address
1997 SW 17TH CT
Miami, FL 33145-2707
Phone
(305) 854-2631
Fax
(305) 860-7723
NPI assigned
Jun 26, 2007
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Mrs. Miriam C Companioni I, CNA
Title
President
Phone
(305) 854-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL7893 FL Primary

Addresses

Primary practice location

1997 SW 17TH CT
Miami, FL 33145-2707

Mailing address

1997 SW 17TH CT
Miami, FL 33145-2707
Phone (305) 854-2631

Other identifiers 1

IdentifierTypeStateIssuer
676160700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1326244245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 SW 17TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452707",
            "telephone_number": "305-854-2631",
            "fax_number": "305-860-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 SW 17TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452707",
            "telephone_number": "305-854-2631",
            "fax_number": "305-860-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOME CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "COMPANIONI",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-854-2631",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL7893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676160700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.