Provider Demographics
NPI:1447791116
Name:HOME COMPANION SERVICES,INC.
Entity Type:Organization
Organization Name:HOME COMPANION SERVICES,INC.
Other - Org Name:HOME COMPANION SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-522-2705
Mailing Address - Street 1:25311 147TH DR
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2823
Mailing Address - Country:US
Mailing Address - Phone:516-522-2705
Mailing Address - Fax:718-413-2142
Practice Address - Street 1:25311 147TH DR
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422
Practice Address - Country:US
Practice Address - Phone:516-884-4853
Practice Address - Fax:718-413-2142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2495411Medicare Oscar/Certification