Provider Demographics
NPI:1891268611
Name:COMPANION CARE IH-HOME HELP AIDES, LLC
Entity Type:Organization
Organization Name:COMPANION CARE IH-HOME HELP AIDES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-521-7788
Mailing Address - Street 1:602 E KALAMAZOO ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49026-9729
Mailing Address - Country:US
Mailing Address - Phone:269-521-7788
Mailing Address - Fax:269-521-6660
Practice Address - Street 1:602 E KALAMAZOO ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:MI
Practice Address - Zip Code:49026-9729
Practice Address - Country:US
Practice Address - Phone:269-521-7788
Practice Address - Fax:269-521-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8701696OtherCHAMPS