Active NPI
Companion Home and Community Services LLC
- Home Health Registered Nurse
- Hopkins, MN
National Provider Identifier
1629809694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- 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, 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
- Idris Geyre
- Title
- Manager
- Phone
- (651) 294-6418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Hopkins, MN
- NPI 1467286880
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.