Provider Demographics
NPI:1609438886
Name:COMPANION HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:COMPANION HOME CARE SERVICES LLC
Other - Org Name:COMPANION HOME CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:561-410-3797
Mailing Address - Street 1:3860 DALE RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-8514
Mailing Address - Country:US
Mailing Address - Phone:561-410-3797
Mailing Address - Fax:561-899-3506
Practice Address - Street 1:3860 DALE RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-8514
Practice Address - Country:US
Practice Address - Phone:561-410-3797
Practice Address - Fax:561-899-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care