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NPI Code Detail

MEDICARE: COMPANION INDIVIDUALIZED AIDE LLC

MEDICARE: COMPANION INDIVIDUALIZED AIDE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174H00000XHealth Educator
2251E00000XHome Health Agency
3251K00000XPublic Health or Welfare Agency
4253Z00000XIn Home Supportive Care Agency
5314000000XSkilled Nursing Facility
6320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
7343800000XSecured Medical Transport (VAN)
8343900000XNon-emergency Medical Transport (VAN)
9385H00000XRespite Care
10385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
11385HR2065XChild Physical Disabilities Respite Care
12251J00000XNursing Care Agency

General Provider Information

NPI Number : 1952035156
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPANION INDIVIDUALIZED AIDE LLC
Provider Business Mailing Address
First Line : 1730 SECTION RD UNIT 37113
Second Line :
City : CINCINNATI
State : OH
Zip : 45222-7505
Country : US
Telephone Number : 513-416-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1730 SECTION RD UNIT 37113
Second Line :
City : CINCINNATI
State : OH
Zip : 45222-7505
Country : US
Telephone Number : 513-416-4100
Fax Number : 513-416-4100
Authorized Official
Title or Position : CFO
Name : MS. DASHAWNA MURAGE
Credential : HCA. MA. S.T.N.A HHA
Telephone Number : 513-416-4100
Provider Enumeration Date : 07/13/2022
Last Update Date : 04/07/2025

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Directions to “COMPANION INDIVIDUALIZED AIDE LLC ” Practice Location

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