Kompanion Homes LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

KOMPANION HOMES LLC

Practice address

1470 E 173Rd St
Cleveland, OH 44110-2931

Phone

(216) 466-1379

NPI assigned

Dec 7, 2022

Organization subpart

No

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

Authorized official

Name

Anthonie D JacksonNPI 1083438709

Title

Owner

Phone

(216) 466-1379

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthonie D Jackson

  • Homemaker
  • Cleveland, OH
  • NPI 1083438709
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1538870902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 E 173RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102931",
            "telephone_number": "216-466-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E 173RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102931",
            "telephone_number": "216-466-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Metro Pl N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430175343",
            "country_code": "US",
            "telephone_number": "855-289-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOMPANION HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANTHONIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-466-1379"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2910854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Kominsky, MD
• Suzanne Engel Kominsky, MD
• Melissa Claire Komlosi, CNP
• Animisha Kommera, MD
• Jessica Marie Kompan
• Boris Komrovsky, M.D.
• Arpitha Komuravelly, M.D
• Meleine Landry Konan, MD, MS
• Kenneth Koncilja, M.D.
• Laura Lee Konczal, M.D.

• Homemaker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.