Provider Demographics
NPI:1215350038
Name:COMPANION HOME HEALTH OF MARICOPA, LLC
Entity type:Organization
Organization Name:COMPANION HOME HEALTH OF MARICOPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TSCHUDY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:866-270-0356
Mailing Address - Street 1:1930 S ALMA SCHOOL RD
Mailing Address - Street 2:SUITE A-105, OFFICE NO. 8
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3064
Mailing Address - Country:US
Mailing Address - Phone:866-270-0356
Mailing Address - Fax:866-230-5692
Practice Address - Street 1:1930 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE A-105, OFFICE NO. 8
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3064
Practice Address - Country:US
Practice Address - Phone:866-270-0356
Practice Address - Fax:866-230-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health