Provider Demographics
NPI:1235499187
Name:HOME FIRST COMPANIONS LLC
Entity Type:Organization
Organization Name:HOME FIRST COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-619-9445
Mailing Address - Street 1:4515 POPLAR AVE STE 421
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-7508
Mailing Address - Country:US
Mailing Address - Phone:901-682-7275
Mailing Address - Fax:901-682-7276
Practice Address - Street 1:4515 POPLAR AVE STE 421
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-7508
Practice Address - Country:US
Practice Address - Phone:901-682-7275
Practice Address - Fax:901-682-7276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000010606372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty