COMPASSIONATE COMPANIONS SENIOR SERVICES, LLC


Address: 11628 Old Ballas Rd, Saint Louis, MO 63141-7030
Phone: 3142963239

COMPASSIONATE COMPANIONS SENIOR SERVICES, LLC (NPI# 1912370875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912370875
Entity Type Organization
Organization Name COMPASSIONATE COMPANIONS SENIOR SERVICES, LLC
Practice Address 11628 Old Ballas Rd
Saint Louis
MO 63141-7030
Mailing Address 5462 Tedmar Ct
Saint Louis
MO 63139-1552
Practice Telephone 3142963239
Mailing Telephone 3146429810
Enumeration Date 2015-11-01
Last Update Date 2015-11-01
Authorized Official Name MRS. KENESHA BURLISON (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 3146429810
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Office Location

Street Address 11628 OLD BALLAS RD
City SAINT LOUIS
State MO
Zip Code 63141-7030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306874144 Lee W Tempel Internal Medicine 11628 Old Ballas Rd, Ste 106, Saint Louis, MO 63141-7030 2006-06-29
1720543341 Brenna Pfahler Specialist/Technologist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2019-02-07
1528531001 Taylor June Kuehl Specialist/Technologist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2019-01-07
1033619325 Deyonta Tolliver Specialist/Technologist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2018-02-14
1144768201 Skye Rose Hetherington Specialist/Technologist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2017-02-08
1306255708 Nano Consultancy Services LLC Internal Medicine 11628 Old Ballas Rd, Suite 212, Saint Louis, MO 63141-7030 2014-08-11
1447329156 Sue L Carron Physical Therapist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2006-11-07
1568531275 Victor J Zuccarello Occupational Therapist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2006-11-07
1053402396 Kristina M Higgins Physical Therapist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2006-09-28
1891886149 Sheri L Naumann Physical Therapist 11628 Old Ballas Rd, Saint Louis, MO 63141-7030 2006-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073112868 Kb Cds Health Services In Home Supportive Care 5431 Chippewa St Unit B103, Saint Louis, MO 63109-1635 2020-10-22
1285233536 Hoping Hands Homecare LLC In Home Supportive Care 5046 Ridge Ave, Saint Louis, MO 63113-1404 2020-10-19
1740897834 Mgc Health Care Services, LLC In Home Supportive Care 1430 Washington Ave Ste 228, Saint Louis, MO 63103-2029 2020-09-23
1073129573 Exquisite Homecare LLC In Home Supportive Care 1224 Washington Ave Apt 6a, Saint Louis, MO 63103-1969 2020-09-20
1154933919 So Serious Private Duty LLC In Home Supportive Care 5008 Wren Ave, Saint Louis, MO 63120-1919 2020-08-21
1639792682 Guardian Homecare LLC In Home Supportive Care 10436 W Florissant Ave, Saint Louis, MO 63136-2343 2020-05-26
1841813169 Jody M Jordan In Home Supportive Care 10323 Ross Cir, Saint Louis, MO 63137-4130 2020-05-20
1235750530 Precious Angels Hhs, LLC In Home Supportive Care 3131 Chippewa St, Saint Louis, MO 63118-3631 2020-04-28
1639705320 Angel Aid Cds LLC In Home Supportive Care 315 Lemay Ferry Rd Ste 128, Saint Louis, MO 63125-1550 2020-03-13
1396375655 A Perfect Balance In Home Services LLC In Home Supportive Care 2335 Rutger St, Saint Louis, MO 63104-2433 2020-01-24
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Competitor

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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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