Provider Demographics
NPI:1003312786
Name:PERSONAL COMPANIONS HOME CARE LLC
Entity Type:Organization
Organization Name:PERSONAL COMPANIONS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-332-1993
Mailing Address - Street 1:9420 TOWNE SQUARE AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6910
Mailing Address - Country:US
Mailing Address - Phone:513-442-0082
Mailing Address - Fax:513-442-4188
Practice Address - Street 1:9420 TOWNE SQUARE AVE STE 18
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-442-0082
Practice Address - Fax:513-442-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0321565Medicaid