Organization Active NPI

Compassionate Companions Senior Services, LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1912370875
Registry record updated Nov 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPASSIONATE COMPANIONS SENIOR SERVICES, LLC
Practice address
11628 Old Ballas Rd
Saint Louis, MO 63141-7030
Phone
(314) 296-3239
NPI assigned
Nov 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2015

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

Authorized official

Name
Mrs. Kenesha Burlison
Title
Chief Executive Officer
Phone
(314) 642-9810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11628 Old Ballas Rd
Saint Louis, MO 63141-7030

Mailing address

5462 Tedmar CT
Saint Louis, MO 63139-1552
Phone (314) 642-9810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1912370875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 TEDMAR CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391552",
            "telephone_number": "314-642-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-296-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE COMPANIONS SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "BURLISON",
        "authorized_official_first_name": "KENESHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-642-9810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.