Provider Demographics
NPI:1073283735
Name:COMPANION HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:COMPANION HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZETTE
Authorized Official - Middle Name:KARINA
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CSCM, STA
Authorized Official - Phone:210-329-8980
Mailing Address - Street 1:9901 W IH 10 STE 800
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2292
Mailing Address - Country:US
Mailing Address - Phone:210-372-8980
Mailing Address - Fax:210-819-4271
Practice Address - Street 1:9901 W IH 10 STE 800
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2292
Practice Address - Country:US
Practice Address - Phone:210-372-8980
Practice Address - Fax:210-819-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care