Provider Demographics
NPI:1720432347
Name:MYER COMPANION CARE, LLC
Entity Type:Organization
Organization Name:MYER COMPANION CARE, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-638-3176
Mailing Address - Street 1:4626 JAMESTOWN AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3217
Mailing Address - Country:US
Mailing Address - Phone:225-638-3176
Mailing Address - Fax:225-412-0057
Practice Address - Street 1:2111 OAK GROVE RD
Practice Address - Street 2:SUITE A
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1461
Practice Address - Country:US
Practice Address - Phone:601-296-6300
Practice Address - Fax:601-296-6726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care