Provider Demographics
NPI:1184737884
Name:COMPANION CARE HOSPICE, INC.
Entity type:Organization
Organization Name:COMPANION CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-806-2643
Mailing Address - Street 1:1498 ATOLL
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3383
Mailing Address - Country:US
Mailing Address - Phone:626-806-2643
Mailing Address - Fax:
Practice Address - Street 1:1501 W CAMERON AVE STE 110-10
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2742
Practice Address - Country:US
Practice Address - Phone:626-337-9138
Practice Address - Fax:626-962-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based