Provider Demographics
NPI:1548595044
Name:COMPANION HOSPICE AND PALLIATIVE CARE OF THE VALLEY, LLC
Entity Type:Organization
Organization Name:COMPANION HOSPICE AND PALLIATIVE CARE OF THE VALLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-664-0974
Mailing Address - Street 1:20 E FOOTHILL BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2335
Mailing Address - Country:US
Mailing Address - Phone:626-247-2270
Mailing Address - Fax:626-247-2277
Practice Address - Street 1:20 E FOOTHILL BLVD STE 105
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2335
Practice Address - Country:US
Practice Address - Phone:626-247-2270
Practice Address - Fax:626-247-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551590Medicare Oscar/Certification