Provider Demographics
NPI:1952887903
Name:COMPANION CARE SERVICES, LLC
Entity Type:Organization
Organization Name:COMPANION CARE SERVICES, LLC
Other - Org Name:COMPANION CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:KEATING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-993-2345
Mailing Address - Street 1:1455 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3909
Mailing Address - Country:US
Mailing Address - Phone:650-993-2345
Mailing Address - Fax:
Practice Address - Street 1:1455 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3909
Practice Address - Country:US
Practice Address - Phone:650-993-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA414700029253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care