Provider Demographics
NPI:1386325751
Name:SILVER COMPANIONS INC.
Entity type:Organization
Organization Name:SILVER COMPANIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-494-8129
Mailing Address - Street 1:6478 PUTNAM FORD DR STE 107
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6988
Mailing Address - Country:US
Mailing Address - Phone:678-494-8129
Mailing Address - Fax:678-494-8139
Practice Address - Street 1:6478 PUTNAM FORD DR STE 107
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-6988
Practice Address - Country:US
Practice Address - Phone:678-494-8129
Practice Address - Fax:678-494-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care