Provider Demographics
NPI:1932816212
Name:WVJ COMPANION SERVICES, LLC
Entity Type:Organization
Organization Name:WVJ COMPANION SERVICES, LLC
Other - Org Name:WVJ HOMECARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:V
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CMMA
Authorized Official - Phone:959-999-0609
Mailing Address - Street 1:52 SCOTT DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3018
Mailing Address - Country:US
Mailing Address - Phone:959-999-0609
Mailing Address - Fax:
Practice Address - Street 1:52 SCOTT DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3018
Practice Address - Country:US
Practice Address - Phone:959-999-0609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care