Healthcare Provider Details

I. General information

NPI: 1215420229
Provider Name (Legal Business Name): COMPANION & COMPASSION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LAURA ST STE 2500
JACKSONVILLE FL
32202-3646
US

IV. Provider business mailing address

50 N LAURA ST STE 2500
JACKSONVILLE FL
32202-3646
US

V. Phone/Fax

Practice location:
  • Phone: 904-502-9052
  • Fax: 904-515-5647
Mailing address:
  • Phone: 904-502-9052
  • Fax: 904-515-5642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLLISA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 904-502-4851