Provider Demographics
NPI:1427379114
Name:COMMUNITY CARE COMPANIONS, INC.
Entity Type:Organization
Organization Name:COMMUNITY CARE COMPANIONS, INC.
Other - Org Name:COMMUNITY CARE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GATIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-549-9500
Mailing Address - Street 1:300 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2611
Mailing Address - Country:US
Mailing Address - Phone:631-549-9500
Mailing Address - Fax:631-549-9508
Practice Address - Street 1:300 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2611
Practice Address - Country:US
Practice Address - Phone:631-549-9500
Practice Address - Fax:631-549-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1820L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health