Provider Demographics
NPI:1346685039
Name:COMPANIONS FOREVER LLC
Entity Type:Organization
Organization Name:COMPANIONS FOREVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OF COMPLIANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-392-9412
Mailing Address - Street 1:298 E ROBBINS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-3915
Mailing Address - Country:US
Mailing Address - Phone:860-524-8550
Mailing Address - Fax:860-956-9856
Practice Address - Street 1:298 E ROBBINS AVE
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-3915
Practice Address - Country:US
Practice Address - Phone:860-524-8550
Practice Address - Fax:860-956-9856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA000243251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health