Provider Demographics
NPI:1851654131
Name:ACR COMPANION CARE LLC
Entity Type:Organization
Organization Name:ACR COMPANION CARE LLC
Other - Org Name:ACR COMPANION CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:CANADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-422-3466
Mailing Address - Street 1:7629 ROCKDALE
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1020
Mailing Address - Country:US
Mailing Address - Phone:313-422-3466
Mailing Address - Fax:
Practice Address - Street 1:7629 ROCKDALE
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-1020
Practice Address - Country:US
Practice Address - Phone:313-422-3466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health