Active NPI
Ellison Home Care Companion Agency LLC
- Homemaker
- Ocala, FL
National Provider Identifier
1801318894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 234910
- Legal business name
- ELLISON HOME CARE COMPANION AGENCY LLC
- Practice address
- 2851 SW 142ND LN
Ocala, FL 34473-2575 - Phone
- (352) 615-7820
- Fax
- (631) 513-4699
- NPI assigned
- Jul 11, 2017
- Last updated
- Jul 11, 2017
- 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
- Mrs. Shirley Lee Ellison, LICENSE
- Title
- President
- Phone
- (631) 885-4986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 234910 | FL | Primary |
Addresses
Primary practice location
2851 SW 142ND LN
Ocala, FL 34473-2575
Mailing address
147 W Orange St
Brentwood, NY 11717-8109
Phone (631) 885-4986
Other names 1
- Ellison Home Care Companion LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499731200000",
"number": "1801318894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 W ORANGE ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117178109",
"telephone_number": "631-885-4986",
"fax_number": "631-513-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 SW 142ND LN",
"city": "OCALA",
"state": "FL",
"postal_code": "344732575",
"telephone_number": "352-615-7820",
"fax_number": "631-513-4699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLISON HOME CARE COMPANION AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-11",
"last_updated": "2017-07-11",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-885-4986",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LICENSE"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "FL",
"license": "234910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellison Home Care Companion LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.