Provider Demographics
NPI:1396017810
Name:MERCY HOMECARE/COMPANION SERVICES
Entity type:Organization
Organization Name:MERCY HOMECARE/COMPANION SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COMERIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-309-7451
Mailing Address - Street 1:9024 SW 214TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3783
Mailing Address - Country:US
Mailing Address - Phone:305-608-7350
Mailing Address - Fax:305-608-7350
Practice Address - Street 1:9024 SW 214TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-3783
Practice Address - Country:US
Practice Address - Phone:305-608-7350
Practice Address - Fax:305-608-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232482253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care