Provider Demographics
NPI:1376226548
Name:HANDS ON COMPANION AGENCY, LLC
Entity Type:Organization
Organization Name:HANDS ON COMPANION AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TENIKA
Authorized Official - Middle Name:NECOLE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-333-1382
Mailing Address - Street 1:1412 RUSSELL PKWY # 232
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8640
Mailing Address - Country:US
Mailing Address - Phone:478-333-1382
Mailing Address - Fax:229-213-5071
Practice Address - Street 1:1127 S HOUSTON LAKE RD APT 514
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-2842
Practice Address - Country:US
Practice Address - Phone:478-333-1382
Practice Address - Fax:229-213-5071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty