Provider Demographics
NPI:1144833591
Name:COMPANION NURSES HOME HEALTH LLC
Entity type:Organization
Organization Name:COMPANION NURSES HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOONG
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:267-733-6888
Mailing Address - Street 1:2400 E CUMBERLAND ST STE B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-3105
Mailing Address - Country:US
Mailing Address - Phone:267-733-6888
Mailing Address - Fax:267-792-3206
Practice Address - Street 1:2400 E CUMBERLAND ST STE B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3105
Practice Address - Country:US
Practice Address - Phone:267-733-6888
Practice Address - Fax:267-792-3206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103843026-0001Medicaid
PA52203601OtherDEPARTMENT OF HEALTH
PA1038430260001Medicaid