Provider Demographics
NPI:1457744062
Name:TAYLOR COMPANION CARE SERVICES
Entity Type:Organization
Organization Name:TAYLOR COMPANION CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANEITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR-SERVICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-226-9392
Mailing Address - Street 1:8401 N 106TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-2301
Mailing Address - Country:US
Mailing Address - Phone:480-226-9392
Mailing Address - Fax:
Practice Address - Street 1:4332 N 50TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1315
Practice Address - Country:US
Practice Address - Phone:866-832-3324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-07
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care