Provider Demographics
NPI:1306180120
Name:COMPANION HOMECARE
Entity Type:Organization
Organization Name:COMPANION HOMECARE
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-308-2090
Mailing Address - Street 1:8820 TRINITY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-2735
Mailing Address - Country:US
Mailing Address - Phone:901-308-2090
Mailing Address - Fax:901-308-2628
Practice Address - Street 1:8820 TRINITY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-2735
Practice Address - Country:US
Practice Address - Phone:901-308-2090
Practice Address - Fax:901-308-2628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN385H00000X385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care