Companion Residential Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMPANION RESIDENTIAL CARE LLC

Practice address

1001 Business Pkwy
Richardson, TX 75081-5024

Phone

(214) 868-5151

Fax

(214) 275-7663

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Emiliana Ntwina Mandari

Title

Adminstrator

Phone

(214) 868-5151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1962756502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 DARTMOUTH DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750324621",
            "telephone_number": "214-868-5151",
            "fax_number": "214-275-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BUSINESS PKWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815024",
            "telephone_number": "214-868-5151",
            "fax_number": "214-275-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "MANDARI",
        "authorized_official_first_name": "EMILIANA",
        "authorized_official_middle_name": "NTWINA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "214-868-5151"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.