E & N Companion Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

E & N COMPANION CARE LLC

Practice address

130 SW Monterey Rd
Stuart, FL 34994-4610

Phone

(772) 287-5432

Fax

(772) 497-7012

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Bentancur

Title

Administrator

Phone

(772) 287-5432

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Champion Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1639630726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SW MONTEREY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944610",
            "telephone_number": "772-287-5432",
            "fax_number": "772-497-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SW MONTEREY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944610",
            "telephone_number": "772-287-5432",
            "fax_number": "772-497-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & N COMPANION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "BENTANCUR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-287-5432"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102557600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Stuart, FL
• Providers in Stuart, 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 Aug 23, 2021; 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.