Provider Demographics
NPI:1659032316
Name:UPLIFTING COMPANIONSHIP SERVICES LLC
Entity Type:Organization
Organization Name:UPLIFTING COMPANIONSHIP SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALIBURTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, CPR
Authorized Official - Phone:561-702-8574
Mailing Address - Street 1:800 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-7408
Mailing Address - Country:US
Mailing Address - Phone:561-702-8574
Mailing Address - Fax:
Practice Address - Street 1:800 W 5TH ST
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-7408
Practice Address - Country:US
Practice Address - Phone:561-702-8574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPLIFTING COMPANIONSHIP SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care