Provider Demographics
NPI:1477853109
Name:COMPANION HOME CARE INC.
Entity Type:Organization
Organization Name:COMPANION HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-583-0447
Mailing Address - Street 1:305 W CHESAPEAKE AVE STE L90
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4423
Mailing Address - Country:US
Mailing Address - Phone:410-583-0447
Mailing Address - Fax:410-583-0454
Practice Address - Street 1:305 W CHESAPEAKE AVE STE L90
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4423
Practice Address - Country:US
Practice Address - Phone:410-583-0447
Practice Address - Fax:410-583-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2071251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health