Provider Demographics
NPI:1356156418
Name:I-COMPANION CARE LLC
Entity type:Organization
Organization Name:I-COMPANION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR/CASE MANAGER RN
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:408-770-4527
Mailing Address - Street 1:35213 CABRILLO DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-4504
Mailing Address - Country:US
Mailing Address - Phone:408-579-9929
Mailing Address - Fax:
Practice Address - Street 1:35213 CABRILLO DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-4504
Practice Address - Country:US
Practice Address - Phone:408-579-9929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care