Provider Demographics
NPI:1922019470
Name:COMPANION CARE SERVICES
Entity Type:Organization
Organization Name:COMPANION CARE SERVICES
Other - Org Name:COMPANION CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COSCIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-898-4600
Mailing Address - Street 1:23811 WASHINGTON AVE
Mailing Address - Street 2:C110 #183
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-2267
Mailing Address - Country:US
Mailing Address - Phone:951-898-4600
Mailing Address - Fax:951-696-7710
Practice Address - Street 1:23811 WASHINGTON AVE
Practice Address - Street 2:C110 #183
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-2267
Practice Address - Country:US
Practice Address - Phone:951-898-4600
Practice Address - Fax:951-696-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health