Provider Demographics
NPI:1689336026
Name:MY CHOSEN COMPANION SERVICES LLC
Entity Type:Organization
Organization Name:MY CHOSEN COMPANION SERVICES LLC
Other - Org Name:MY CHOSEN COMPANION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-294-9666
Mailing Address - Street 1:1445 HERITAGE DR STE B
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3394
Mailing Address - Country:US
Mailing Address - Phone:972-294-9666
Mailing Address - Fax:
Practice Address - Street 1:1445 HERITAGE DR STE B
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3394
Practice Address - Country:US
Practice Address - Phone:972-294-9666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care