Provider Demographics
NPI:1659553857
Name:COMPANIONS OF ASHLAND
Entity Type:Organization
Organization Name:COMPANIONS OF ASHLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BEHRENDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN,
Authorized Official - Phone:419-281-2273
Mailing Address - Street 1:47 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-2228
Mailing Address - Country:US
Mailing Address - Phone:419-281-2273
Mailing Address - Fax:419-207-1737
Practice Address - Street 1:47 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-2228
Practice Address - Country:US
Practice Address - Phone:419-281-2273
Practice Address - Fax:419-207-1737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health