Organization Active NPI

Safe Companions LLC.

  • In Home Supportive Care Agency
  • Melbourne, FL
National Provider Identifier
1508404435
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAFE COMPANIONS LLC.
Practice address
1112 Swan St
Melbourne, FL 32935-6188
Phone
(321) 507-3066
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Robert M Mitchell
Title
Owner
Phone
(321) 507-3066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1112 Swan St
Melbourne, FL 32935-6188

Mailing address

1112 Swan St
Melbourne, FL 32935-6188
Phone (321) 507-3066

Other identifiers 1

IdentifierTypeStateIssuer
105397800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1508404435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SWAN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356188",
            "telephone_number": "321-507-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SWAN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356188",
            "telephone_number": "321-507-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE COMPANIONS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-507-3066"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105397800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.