Organization Active NPI

Companion Home Care LLC

  • In Home Supportive Care Agency
  • Antioch, TN
National Provider Identifier
1700633567
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPANION HOME CARE LLC
Practice address
5170 Hickory Hollow Pkwy
Antioch, TN 37013-3051
Phone
(615) 887-5620
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Hollie Davis, OTR/LNPI 1184040438
Title
Partner
Phone
(615) 887-5620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

5170 Hickory Hollow Pkwy
Antioch, TN 37013-3051

Mailing address

4015 Travis Dr Ste 211
Nashville, TN 37211-3742
Phone (629) 736-2105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1700633567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 TRAVIS DR STE 211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113742",
            "telephone_number": "629-736-2105",
            "fax_number": "629-702-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 HICKORY HOLLOW PKWY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133051",
            "telephone_number": "615-887-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "615-887-5620",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.