Provider Demographics
NPI:1831814714
Name:QUALITY COMPANION HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:QUALITY COMPANION HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PRACTICAL NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:313-627-5389
Mailing Address - Street 1:24901 NORTHWESTERN HWY STE 314D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2207
Mailing Address - Country:US
Mailing Address - Phone:248-787-7680
Mailing Address - Fax:248-905-3452
Practice Address - Street 1:24901 NORTHWESTERN HWY STE 314D
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2207
Practice Address - Country:US
Practice Address - Phone:248-787-7680
Practice Address - Fax:248-905-3452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No385H00000XRespite Care FacilityRespite Care