Provider Demographics
NPI:1144622846
Name:HOME HELPERS COMPANION AGENCY INC
Entity Type:Organization
Organization Name:HOME HELPERS COMPANION AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-908-9100
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:208 E MAIN STREET
Mailing Address - City:MARION
Mailing Address - State:MI
Mailing Address - Zip Code:49665
Mailing Address - Country:US
Mailing Address - Phone:231-908-9100
Mailing Address - Fax:
Practice Address - Street 1:208 E MAIN
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MI
Practice Address - Zip Code:49665
Practice Address - Country:US
Practice Address - Phone:231-908-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care