Provider Demographics
NPI:1922397546
Name:SEQUOIA COMPANION CARE, LLC
Entity Type:Organization
Organization Name:SEQUOIA COMPANION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:AMORINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-472-3627
Mailing Address - Street 1:55 SHAW AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-3819
Mailing Address - Country:US
Mailing Address - Phone:559-472-3627
Mailing Address - Fax:559-472-3631
Practice Address - Street 1:55 SHAW AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3819
Practice Address - Country:US
Practice Address - Phone:559-472-3627
Practice Address - Fax:559-472-3631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care