Provider Demographics
NPI:1083239586
Name:A HOMES COMPANION LLC
Entity Type:Organization
Organization Name:A HOMES COMPANION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARRYSHOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-423-3714
Mailing Address - Street 1:1514 NW 52ND AVE
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-5433
Mailing Address - Country:US
Mailing Address - Phone:754-423-3714
Mailing Address - Fax:
Practice Address - Street 1:1514 NW 52ND AVE
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-5433
Practice Address - Country:US
Practice Address - Phone:754-423-3714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty