Provider Demographics
NPI:1639331747
Name:TOTAL COMPANION CARE INC
Entity Type:Organization
Organization Name:TOTAL COMPANION CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:CLINTON
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:BSAS
Authorized Official - Phone:336-926-0962
Mailing Address - Street 1:3767 DAY RD
Mailing Address - Street 2:N/A
Mailing Address - City:WALKERTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27051-9733
Mailing Address - Country:US
Mailing Address - Phone:336-926-0962
Mailing Address - Fax:
Practice Address - Street 1:3767 DAY RD
Practice Address - Street 2:N/A
Practice Address - City:WALKERTOWN
Practice Address - State:NC
Practice Address - Zip Code:27051
Practice Address - Country:US
Practice Address - Phone:336-926-0962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC-4059253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care