Provider Demographics
NPI:1871038190
Name:BERNIES COMPANION CAREGIVERS, LLC
Entity Type:Organization
Organization Name:BERNIES COMPANION CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-641-0313
Mailing Address - Street 1:8301 COLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1512
Mailing Address - Country:US
Mailing Address - Phone:801-801-7940
Mailing Address - Fax:804-261-4964
Practice Address - Street 1:8301 COLEBROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1512
Practice Address - Country:US
Practice Address - Phone:801-801-7940
Practice Address - Fax:804-261-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA002-00609308253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care