Provider Demographics
NPI:1659655975
Name:SENIOR COMPANIONS AT HOME
Entity Type:Organization
Organization Name:SENIOR COMPANIONS AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MISS
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:RAMOSO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:650-364-1265
Mailing Address - Street 1:1305 WHIPPLE AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1635
Mailing Address - Country:US
Mailing Address - Phone:650-364-1265
Mailing Address - Fax:650-368-9599
Practice Address - Street 1:1305 WHIPPLE AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1635
Practice Address - Country:US
Practice Address - Phone:650-364-1265
Practice Address - Fax:650-368-9599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care