GULF COAST COMPANION CARE, LLC (NPI# 1093361156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093361156 |
| Entity Type | Organization |
| Organization Name | GULF COAST COMPANION CARE, LLC |
| Practice Address |
1314 Pass Road, Ste B Gulfport MS 39501 |
| Practice Telephone | 2288679700 |
| Practice Fax Number | 2288679752 |
| Mailing Telephone | 2288679700 |
| Mailing Fax Number | 2288679752 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | MS. JENNIFER LYNN GILL (OWNER) |
| Authorized Official Telephone | 2288679700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Comfort Keepers | Doing Business As Name - Organization |
| Street Address |
1314 PASS ROAD, STE B |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| 1063781086 | Harbor View Oral and Facial Surgery LLC | Dentist | 1301 25th Avenue, Suite 3, Gulfport, MS 39501 | 2011-12-20 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740465 | Greatta Hodges | Home Health | 12089 George St, Gulfport, MS 39503-4360 | 2020-08-11 |
| 1598289589 | Virtuous Homecare | Home Health | 15151 Mandarin Cove, Gulfport, MS 39503-8488 | 2017-08-01 |
| 1194245761 | Cas Care LLC | Home Health | 12236 Ashley Dr Ste A, Gulfport, MS 39503-2759 | 2017-06-23 |
| 1093192791 | Michelle Brown | Home Health | 30 Yorkshire Pkwy, Gulfport, MS 39503-4018 | 2015-05-01 |
| 1336545276 | Devoted Heart Home Care, LLC | Home Health | 1520 29th Ave, Suite 4, Gulfport, MS 39501-2843 | 2014-11-04 |
| 1730512864 | Angel Hearts LLC | Home Health | 15215 Oberlin Ave, Gulfport, MS 39503-4397 | 2013-08-13 |
| 1013142066 | Camellia Home Health of The Gulf Coast, LLC | Home Health | 11703 Highland Cir Ste A, Gulfport, MS 39503-4275 | 2009-05-20 |
| 1104871094 | Nine Palms 2 LLC | Home Health | 11010 Highway 49, Ste 4, Gulfport, MS 39503-4190 | 2006-05-23 |
| 1174527030 | Kare-in-home Health Services, Inc. | Home Health | 10281 Corporate Dr, Gulfport, MS 39503-4603 | 2005-06-09 |
| 1083220156 | Kare-in-home Homecare, LLC | Home Health | 10281 Corporate Dr, Gulfport, MS 39503-4603 | 2020-09-23 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.