Provider Demographics
NPI:1699181800
Name:COMPANIONS HOME HEALTHCARE
Entity Type:Organization
Organization Name:COMPANIONS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS IN SOCIAL WO
Authorized Official - Phone:505-907-9190
Mailing Address - Street 1:4811 HARDWARE DR NE STE E-4
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2023
Mailing Address - Country:US
Mailing Address - Phone:505-830-2978
Mailing Address - Fax:505-830-2988
Practice Address - Street 1:4811 HARDWARE DR NE STE E-4
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2023
Practice Address - Country:US
Practice Address - Phone:505-830-2978
Practice Address - Fax:505-830-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health