Provider Demographics
NPI:1043601792
Name:COMPANION CARE & TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COMPANION CARE & TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-539-0571
Mailing Address - Street 1:N5194 SUMMIT CT
Mailing Address - Street 2:
Mailing Address - City:FOND DU LAC
Mailing Address - State:WI
Mailing Address - Zip Code:54937-7972
Mailing Address - Country:US
Mailing Address - Phone:920-539-0571
Mailing Address - Fax:
Practice Address - Street 1:N5194 SUMMIT CT
Practice Address - Street 2:
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54937-7972
Practice Address - Country:US
Practice Address - Phone:920-539-0571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)