Community Companion Home Care, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

HC2077 Issued in NC

Legal business name

COMMUNITY COMPANION HOME CARE, LLC

Practice address

49A State St
Marion, NC 28752-4020

Phone

(828) 659-6453

Fax

(828) 559-8031

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Aimee M Smith

Title

Ceo

Phone

(828) 659-6453

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Tabitha Wendy Paben, LPCA

  • Professional Counselor
  • Marion, NC
  • NPI 1902348428
  Medicare reassignment NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1720138712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49A STATE ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524020",
            "telephone_number": "828-659-6453",
            "fax_number": "828-559-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49A STATE ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524020",
            "telephone_number": "828-659-6453",
            "fax_number": "828-559-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 S Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287523941",
            "country_code": "US",
            "telephone_number": "828-559-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY COMPANION HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-659-6453"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": "HC2077",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "HC2077",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600787",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418904",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CNC Access, Inc.
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• Crystal Franklin Coan, SLP
• Alexandra Anna Coleman, SLP
• Community Carepartners, Inc.
• Community Pharmacy of Marion LLC.
• Compassion 1St PLLC
• Compassion Care Services LLC
• Comprehensive Hospitalist Services of North Carolina LLC
• Comprehensive Pain Consultants of the Carolinas PLLC

• Community/Behavioral Health Agency in Marion, NC
• Providers in Marion, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.