Organization Active NPI

Companion Care Corporation

  • Home Health Agency
  • Elkins, WV
National Provider Identifier
1811916091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
038106 Issued in WV
Legal business name
COMPANION CARE CORPORATION
Practice address
203 4TH St
Elkins, WV 26241-3838
Phone
(304) 636-6773
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerome Munsey
Title
Owner
Phone
(304) 292-6179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 038106 WV Primary

Addresses

Primary practice location

203 4TH St
Elkins, WV 26241-3838

Mailing address

203 4TH St
Elkins, WV 26241-3838
Phone (304) 636-6773

Other identifiers 1

IdentifierTypeStateIssuer
0030914000OtherWVHOMEMAKER AGENCY

National Provider Directory

National Provider Directory
Tax ID family
Companion Care Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811916091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 4TH ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413838",
            "telephone_number": "304-636-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 4TH ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413838",
            "telephone_number": "304-636-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNSEY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-292-6179",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "038106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER AGENCY",
            "identifier": "0030914000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.