Organization Active NPI

Awesome Companionship Care Agency

  • Home Health Aide
  • Cleveland, OH
National Provider Identifier
1578151338
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0415620MedicaidOH

Other names 1

  • Awesome Companionship Care Agency Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.