Provider Demographics
NPI:1073796942
Name:COMPASSIONATE COMPANIONS
Entity Type:Organization
Organization Name:COMPASSIONATE COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-301-1013
Mailing Address - Street 1:307 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668-2146
Mailing Address - Country:US
Mailing Address - Phone:662-301-1013
Mailing Address - Fax:662-301-1015
Practice Address - Street 1:307 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2146
Practice Address - Country:US
Practice Address - Phone:662-301-1013
Practice Address - Fax:662-301-1015
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREVENTIVE CARE HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06325886Medicaid
MS00932711Medicaid
MS06553061Medicaid