Provider Demographics
NPI:1114567252
Name:NEIGHBORHOOD COMPANION HOMECARE, LLC
Entity Type:Organization
Organization Name:NEIGHBORHOOD COMPANION HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-474-1515
Mailing Address - Street 1:1628 OVIEDO GROVE CIR APT 11
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7176
Mailing Address - Country:US
Mailing Address - Phone:321-474-1515
Mailing Address - Fax:
Practice Address - Street 1:1628 OVIEDO GROVE CIR APT 11
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-7176
Practice Address - Country:US
Practice Address - Phone:321-474-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
No251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty