Provider Demographics
NPI:1811216161
Name:COMPANION HOSPICE AND PALLIATIVE CARE OF VENTURA, LLC
Entity Type:Organization
Organization Name:COMPANION HOSPICE AND PALLIATIVE CARE OF VENTURA, 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 1:3605 ALAMO STREET
Mailing Address - Street 2:SUITE 340
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-0904
Mailing Address - Country:US
Mailing Address - Phone:714-741-0273
Mailing Address - Fax:
Practice Address - Street 1:3605 ALAMO STREET
Practice Address - Street 2:SUITE 340
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-0904
Practice Address - Country:US
Practice Address - Phone:714-741-0273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based