NPIMap

Organization Active NPI

Significant Companion Home Care LLC

  • In Home Supportive Care Agency
  • Conyers, GA
National Provider Identifier
1578098836
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SIGNIFICANT COMPANION HOME CARE LLC
Practice address
1246 Mill Crest Walk NW
Conyers, GA 30012-4244
Phone
(678) 927-4124
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Catrina WilsonNPI 1033770946
Title
Administrator
Phone
(678) 927-4124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1246 Mill Crest Walk NW
Conyers, GA 30012-4244

Mailing address

1246 Mill Crest Walk NW
Conyers, GA 30012-4244
Phone (678) 927-4124

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address significantcompanion@outlook.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1578098836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 MILL CREST WALK NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124244",
            "telephone_number": "678-927-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 MILL CREST WALK NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124244",
            "telephone_number": "678-927-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNIFICANT COMPANION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-927-4124"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "significantcompanion@outlook.com",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "address_1": "1246 Mill Crest Walk NW",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300124244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.