Provider Demographics
NPI:1770842213
Name:TODD'S COMPANIONPLUS INC.
Entity Type:Organization
Organization Name:TODD'S COMPANIONPLUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-720-0886
Mailing Address - Street 1:6123 GREENBAY ROAD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-2927
Mailing Address - Country:US
Mailing Address - Phone:262-605-4700
Mailing Address - Fax:262-842-0199
Practice Address - Street 1:6123 GREEN BAY RD
Practice Address - Street 2:SUITE 250
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-2927
Practice Address - Country:US
Practice Address - Phone:262-605-4700
Practice Address - Fax:262-842-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care