Provider Demographics
NPI:1134690266
Name:CARDINAL COMPANIONS CARE LLC
Entity Type:Organization
Organization Name:CARDINAL COMPANIONS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SILVA
Authorized Official - Middle Name:T
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-336-2198
Mailing Address - Street 1:14333 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-1581
Mailing Address - Country:US
Mailing Address - Phone:888-336-2198
Mailing Address - Fax:888-336-2198
Practice Address - Street 1:14333 BEACH BLVD STE 33
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-1573
Practice Address - Country:US
Practice Address - Phone:888-336-2198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health