Provider Demographics
NPI:1427178565
Name:COMPANION CAREGIVERS
Entity Type:Organization
Organization Name:COMPANION CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAKENYA
Authorized Official - Middle Name:NATORI
Authorized Official - Last Name:GALLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-268-6100
Mailing Address - Street 1:10 PINE KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-3266
Mailing Address - Country:US
Mailing Address - Phone:864-268-6100
Mailing Address - Fax:864-264-6434
Practice Address - Street 1:10 PINE KNOLL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-3266
Practice Address - Country:US
Practice Address - Phone:864-268-6100
Practice Address - Fax:864-264-6434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC07-24378251E00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered347C00000XTransportation ServicesPrivate Vehicle