Michelles Companion Service LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MICHELLES COMPANION SERVICE LLC

Practice address

2512 NE 57TH Blvd Lot 48
Gainesville, FL 32609-5624

Phone

(352) 225-2035

Fax

(352) 374-8098

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Marceda Welcome

Title

Owner

Phone

(352) 225-2035

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1639543762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 NE 57TH BLVD LOT 48",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095624",
            "telephone_number": "352-225-2035",
            "fax_number": "352-374-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 NE 57TH BLVD LOT 48",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095624",
            "telephone_number": "352-225-2035",
            "fax_number": "352-374-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLES COMPANION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "WELCOME",
        "authorized_official_first_name": "MARCEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-225-2035"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006643900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yehudit Michalson-Hazan
• Bryanna Imani Michel, DOULA
• Jacqueline Michel
• Jon Paul Michelini, MS, ATC
• Michelle M. Bishop, PHD, LLC
• Beth Norma Michelson, LMT
• Florina Mickel, APRN
• Casandra Mickens, MSW
• Tanya J Mickler, PHD
• Mid-Florida Area Agency on Aging

• Home Health Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.