Provider Demographics
NPI:1235437526
Name:HEALTHY COMPANIONS, INC.
Entity Type:Organization
Organization Name:HEALTHY COMPANIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-918-3873
Mailing Address - Street 1:2378 THOMPSONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-5500
Mailing Address - Country:US
Mailing Address - Phone:910-918-3873
Mailing Address - Fax:
Practice Address - Street 1:2378 THOMPSONTOWN RD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-5500
Practice Address - Country:US
Practice Address - Phone:910-918-3873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2192251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600849Medicaid