Organization Active NPI

Community Companion Care Inc

  • Home Health Agency
  • Highland, IN
National Provider Identifier
1497256580
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
18-0143001-1 Issued in IN
Legal business name
COMMUNITY COMPANION CARE INC
Practice address
2842 Highway Ave
Highland, IN 46322-1629
Phone
(888) 474-0454
Fax
(219) 836-1849
NPI assigned
Feb 23, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Syed Afab
Title
Manager
Phone
(888) 474-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 18-0143001-1 IN Primary

Addresses

Primary practice location

2842 Highway Ave
Highland, IN 46322-1629

Mailing address

2842 Highway Ave
Highland, IN 46322-1629
Phone (888) 474-0454

Other identifiers 1

IdentifierTypeStateIssuer
18-014300-1OtherININDIANA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Locations

2842 Highway Ave
Highland, IN 46322
Phone (888) 474-0454

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1497256580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 HIGHWAY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221629",
            "telephone_number": "888-474-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 HIGHWAY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221629",
            "telephone_number": "888-474-0454",
            "fax_number": "219-836-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COMPANION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "AFAB",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-474-0454"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "18-0143001-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA DEPARTMENT OF HEALTH",
            "identifier": "18-014300-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.