Provider Demographics
NPI:1801552070
Name:COMPANION HEALTHCARE LLC
Entity type:Organization
Organization Name:COMPANION HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-868-5151
Mailing Address - Street 1:2075 PONTCHARTRAIN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-6541
Mailing Address - Country:US
Mailing Address - Phone:214-868-5151
Mailing Address - Fax:
Practice Address - Street 1:777 S CENTRAL EXPY # 100
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7411
Practice Address - Country:US
Practice Address - Phone:214-868-5151
Practice Address - Fax:888-959-3639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health