Organization Active NPI

Ellison Home Care Companion Agency LLC

  • Homemaker
  • Ocala, FL
National Provider Identifier
1801318894
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
234910 Issued in FL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.