Provider Demographics
NPI:1538316260
Name:COMPANION CARE SERVICES ENTERPRISES INC
Entity Type:Organization
Organization Name:COMPANION CARE SERVICES ENTERPRISES INC
Other - Org Name:COMPANION CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLANCHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-594-4751
Mailing Address - Street 1:5030 KATELLA AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2819
Mailing Address - Country:US
Mailing Address - Phone:562-594-4751
Mailing Address - Fax:562-431-3581
Practice Address - Street 1:5030 KATELLA AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2819
Practice Address - Country:US
Practice Address - Phone:562-594-4751
Practice Address - Fax:562-431-3581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care