Provider Demographics
NPI:1336920198
Name:MORE TO LIFE COMPANION CARE, LLC
Entity Type:Organization
Organization Name:MORE TO LIFE COMPANION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:ELIJAH
Authorized Official - Last Name:GOLDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-334-2112
Mailing Address - Street 1:1254 13TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-2502
Mailing Address - Country:US
Mailing Address - Phone:813-334-2112
Mailing Address - Fax:
Practice Address - Street 1:1254 13TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-2502
Practice Address - Country:US
Practice Address - Phone:813-334-2112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care