Provider Demographics
NPI:1740416411
Name:COMPANION HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:COMPANION HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-664-0974
Mailing Address - Street 1:12072 TRASK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-3821
Mailing Address - Country:US
Mailing Address - Phone:714-741-0273
Mailing Address - Fax:714-534-0998
Practice Address - Street 1:333 N SANTA ANITA AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2863
Practice Address - Country:US
Practice Address - Phone:888-468-1366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health