Organization Active NPI

Companion Home and Community Services LLC

  • Home Health Registered Nurse
  • Hopkins, MN
National Provider Identifier
1629809694
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
COMPANION HOME AND COMMUNITY SERVICES LLC
Practice address
175 Jackson Ave N Ste 262
Hopkins, MN 55343-4565
Phone
(651) 294-6418
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Idris Geyre
Title
Manager
Phone
(651) 294-6418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

175 Jackson Ave N Ste 262
Hopkins, MN 55343-4565

Mailing address

175 Jackson Ave N Ste 262
Hopkins, MN 55343-4565
Phone (651) 294-6418

National Provider Directory

National Provider Directory
Tax ID family
Companion Home and Community Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

175 Jackson Ave N
Ste 262
Hopkins, MN 55343
Phone (651) 294-6418

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1629809694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JACKSON AVE N STE 262",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553434565",
            "telephone_number": "651-294-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JACKSON AVE N STE 262",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553434565",
            "telephone_number": "651-294-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOME AND COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "GEYRE",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-294-6418"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.