Provider Demographics
NPI:1790165355
Name:COMPANY KEEPERS HOMECARE AGENCY
Entity Type:Organization
Organization Name:COMPANY KEEPERS HOMECARE AGENCY
Other - Org Name:COMPANY KEEPERS HOMECARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHAWNIA
Authorized Official - Middle Name:DANYAL
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-617-3660
Mailing Address - Street 1:2302 ACORN RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-4740
Mailing Address - Country:US
Mailing Address - Phone:704-617-3660
Mailing Address - Fax:
Practice Address - Street 1:2302 ACORN RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-4740
Practice Address - Country:US
Practice Address - Phone:704-617-3660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health