Provider Demographics
NPI:1730842154
Name:COMPANION HOME CARE
Entity type:Organization
Organization Name:COMPANION HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:928-446-7239
Mailing Address - Street 1:390 W CATALINA DR STE 2
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8254
Mailing Address - Country:US
Mailing Address - Phone:928-395-5575
Mailing Address - Fax:928-255-5500
Practice Address - Street 1:390 W CATALINA DR STE 2
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8254
Practice Address - Country:US
Practice Address - Phone:928-395-5575
Practice Address - Fax:928-255-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care