Provider Demographics
NPI:1326425810
Name:COMPLETE COMPANION CARE, L.L.C
Entity Type:Organization
Organization Name:COMPLETE COMPANION CARE, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-527-6234
Mailing Address - Street 1:PO BOX 107
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:NY
Mailing Address - Zip Code:13490-0107
Mailing Address - Country:US
Mailing Address - Phone:315-527-6234
Mailing Address - Fax:
Practice Address - Street 1:5214 STATE ROUTE 233
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:NY
Practice Address - Zip Code:13490-0107
Practice Address - Country:US
Practice Address - Phone:315-527-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health