Provider Demographics
NPI:1689997439
Name:COMPANIONS OF OHIO
Entity Type:Organization
Organization Name:COMPANIONS OF OHIO
Other - Org Name:CRYSTAL CARE COMPANIONS OF MANSFIELD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT OF MARKETING
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-756-5800
Mailing Address - Street 1:1164 WYANDOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44906-1941
Mailing Address - Country:US
Mailing Address - Phone:419-756-5800
Mailing Address - Fax:419-756-0028
Practice Address - Street 1:1164 WYANDOTTE AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-1941
Practice Address - Country:US
Practice Address - Phone:419-756-5800
Practice Address - Fax:419-756-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health