Provider Demographics
NPI:1952035156
Name:COMPANION INDIVIDUALIZED AIDE LLC
Entity Type:Organization
Organization Name:COMPANION INDIVIDUALIZED AIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:DASHAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAGE
Authorized Official - Suffix:
Authorized Official - Credentials:HCA MA STNA HHA
Authorized Official - Phone:513-416-4100
Mailing Address - Street 1:1730 SECTION RD UNIT 37113
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45222-7505
Mailing Address - Country:US
Mailing Address - Phone:513-416-4100
Mailing Address - Fax:
Practice Address - Street 1:2343 W NORTH BEND RD APT A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6888
Practice Address - Country:US
Practice Address - Phone:513-416-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child