Stacy Johnson Companion Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

STACY JOHNSON COMPANION SERVICES

Practice address

4036 Capital Dr
Rocky Mount, NC 27804-3123

Phone

(252) 813-3320

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Stacy Johnson

Title

Ceo

Phone

(252) 813-8499

Specialties & licenses 2

Addresses

Other names 1

• Stacy's @ Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1801533419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 CAPITAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-813-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 CAPITAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-813-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY JOHNSON COMPANION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-813-8499"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacy's @ Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stacy's @ Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pranitha Sriperumbuduru
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• Phyllis Yevette St.John, LCAS-P,LPCA, CRC
• St.Mary'S Homes Care
• Tania Janei Stack, MSW, LCSW, CHC
• Candice Sherese Stallworth, MSN, PMHNP-BC
• Standard Above All, Inc.
• Patricia L Stanford-Adams, OD
• Starting Pointe, Inc.
• Keenya Anderson Staten, FNP-C

• In Home Supportive Care Agency in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.