Provider Demographics
NPI:1760808091
Name:STELINA COMPANION AND PERSONAL CARE SERVICES LLC
Entity Type:Organization
Organization Name:STELINA COMPANION AND PERSONAL CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SQUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-655-6910
Mailing Address - Street 1:777 S CENTRAL EXPY
Mailing Address - Street 2:SUITE 5-G
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7411
Mailing Address - Country:US
Mailing Address - Phone:860-655-6910
Mailing Address - Fax:
Practice Address - Street 1:777 S CENTRAL EXPY
Practice Address - Street 2:SUITE 5-G
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7411
Practice Address - Country:US
Practice Address - Phone:860-655-6910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health