Provider Demographics
NPI:1942027065
Name:COMPANIONS II OF NORTH CAROLINA
Entity type:Organization
Organization Name:COMPANIONS II OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOWANAKA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-974-8403
Mailing Address - Street 1:109 HAY ST STE 202
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-6107
Mailing Address - Country:US
Mailing Address - Phone:910-974-8403
Mailing Address - Fax:
Practice Address - Street 1:109 HAY ST STE 202
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-6107
Practice Address - Country:US
Practice Address - Phone:910-974-8403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)