Provider Demographics
NPI:1932396298
Name:COMPANIONS & HOME HELPERS, LLC
Entity Type:Organization
Organization Name:COMPANIONS & HOME HELPERS, LLC
Other - Org Name:CONNECTICUT MEDICAL SUPPLY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEHAR
Authorized Official - Middle Name:B
Authorized Official - Last Name:NISTAR
Authorized Official - Suffix:
Authorized Official - Credentials:CASE WORKER
Authorized Official - Phone:860-216-0496
Mailing Address - Street 1:62 CONNECTICUT BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-3013
Mailing Address - Country:US
Mailing Address - Phone:860-216-0496
Mailing Address - Fax:860-290-8174
Practice Address - Street 1:62 CONNECTICUT BLVD
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3013
Practice Address - Country:US
Practice Address - Phone:860-216-0496
Practice Address - Fax:860-290-8174
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPANIONS & HOME HELPERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-01
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT332B00000X332B00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT500000293Medicaid