Provider Demographics
NPI:1932708591
Name:AT HOME CARE COMPANION SERVICES INC
Entity Type:Organization
Organization Name:AT HOME CARE COMPANION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:650-850-1889
Mailing Address - Street 1:1992 CALAVERAS DR
Mailing Address - Street 2:
Mailing Address - City:BAY POINT
Mailing Address - State:CA
Mailing Address - Zip Code:94565-3351
Mailing Address - Country:US
Mailing Address - Phone:650-850-1889
Mailing Address - Fax:888-688-4498
Practice Address - Street 1:2814 BUTTERCUP CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-6306
Practice Address - Country:US
Practice Address - Phone:650-850-1889
Practice Address - Fax:888-688-4498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care