Provider Demographics
NPI:1346642055
Name:HOME HOSPICE COMPANIONS, LLC.
Entity Type:Organization
Organization Name:HOME HOSPICE COMPANIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TUCKER
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-305-3533
Mailing Address - Street 1:4210 COLUMBIA RD
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0401
Mailing Address - Country:US
Mailing Address - Phone:706-305-3533
Mailing Address - Fax:706-305-3534
Practice Address - Street 1:4210 COLUMBIA RD
Practice Address - Street 2:SUITE 7A
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-0401
Practice Address - Country:US
Practice Address - Phone:706-305-3533
Practice Address - Fax:706-305-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0360405H251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based