Active NPI
Awesome Companionship Care Agency
- Home Health Aide
- Cleveland, OH
National Provider Identifier
1578151338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- AWESOME COMPANIONSHIP CARE AGENCY
- Doing business as
- Awesome Companionship Care Agency
- Practice address
- 3100 E 45TH St Ste 404
Cleveland, OH 44127-1095 - Phone
- (216) 640-2222
- Fax
- (216) 341-5553
- NPI assigned
- Jan 7, 2021
- Last updated
- Dec 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latisha Coleman
- Title
- Owner
- Phone
- (216) 640-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3100 E 45TH St Ste 404
Cleveland, OH 44127-1095
Mailing address
3100 E 45TH St Ste 404
Cleveland, OH 44127-1095
Phone (216) 640-2222
Other practice location 1
3716 Columbus Ave # Uniteb
Sandusky, OH 44870-7088
Phone (216) 640-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0415620 | Medicaid | OH |
Other names 1
- Awesome Companionship Care Agency
National Provider Directory
National Provider DirectoryLocations
3716 Columbus Ave
Sandusky, OH 44870
Phone (216) 640-2222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733443200000",
"number": "1578151338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 E 45TH ST STE 404",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441271095",
"telephone_number": "216-640-2222",
"fax_number": "216-341-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E 45TH ST STE 404",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441271095",
"telephone_number": "216-640-2222",
"fax_number": "216-341-5553"
}
],
"practiceLocations": [
{
"address_1": "3716 Columbus Ave # Uniteb",
"address_purpose": "LOCATION",
"city": "Sandusky",
"state": "OH",
"postal_code": "448707088",
"country_code": "US",
"telephone_number": "216-640-2222",
"fax_number": "216-341-5553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AWESOME COMPANIONSHIP CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-07",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "LATISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-640-2222"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0415620",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Awesome Companionship Care Agency",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Awesome Companionship Care Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.