Custom Care Companion

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1400015060 Issued in CA

Legal business name

CUSTOM CARE COMPANION

Practice address

9826 Bond Rd # B
Elk Grove, CA 95624-9419

Phone

(916) 704-3933

Fax

(916) 714-1165

NPI assigned

Jan 14, 2014

Organization subpart

Yes

Parent organization

CUSTOM CARE HOME HEALTH SERVICES INCAs reported in NPPES

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

Authorized official

Name

Miss Kiesha Charlton

Title

M

Phone

(916) 714-1155

Specialties & licenses 1

Addresses

Part of

Customcare Home Health Services Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Custom Care Home Health Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Elk Grove, CA
  • NPI 1447502026
  NPPES parent name

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1821410655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 PO BOX",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95759",
            "telephone_number": "916-714-1155",
            "fax_number": "916-714-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9826 BOND RD # B",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249419",
            "telephone_number": "916-704-3933",
            "fax_number": "916-714-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE COMPANION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUSTOM CARE HOME HEALTH SERVICES INC",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "KIESHA",
        "authorized_official_title_or_position": "M",
        "authorized_official_telephone_number": "916-714-1155",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "1400015060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curix Care LLX
• Curly Anne'S Residence 2, Inc Icf/DD-N
• Curoplus LLC
• Faith Curran
• Daisy Curry
• Custom Care Home Health Services Inc
• Customcare Home Health Services Inc.
• Customcare Hospice Services, Inc
• Beverlee Danielle Cvitanov, D.P.T.
• Elizabeth Cybulski

• Home Health Agency in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.