Provider Demographics
NPI:1306883723
Name:BARTLESVILLE COMPANION CARE, LLC
Entity type:Organization
Organization Name:BARTLESVILLE COMPANION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-333-4200
Mailing Address - Street 1:1025 SWAN DR
Mailing Address - Street 2:455
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-5039
Mailing Address - Country:US
Mailing Address - Phone:918-333-4299
Mailing Address - Fax:918-333-5945
Practice Address - Street 1:3803 SE NOWATA ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-5039
Practice Address - Country:US
Practice Address - Phone:918-333-4200
Practice Address - Fax:918-333-5945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7633251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health