Provider Demographics
NPI:1376399030
Name:ON CALL COMPANION CARE
Entity type:Organization
Organization Name:ON CALL COMPANION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RIDWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD-BEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-722-7779
Mailing Address - Street 1:5923 KINGSTON PIKE STE 157
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6344
Mailing Address - Country:US
Mailing Address - Phone:865-722-7779
Mailing Address - Fax:
Practice Address - Street 1:5923 KINGSTON PIKE STE 157
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6344
Practice Address - Country:US
Practice Address - Phone:865-722-7779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care