Provider Demographics
NPI:1427644657
Name:PERSONAL COMPANIONS HOME CARE LLC
Entity type:Organization
Organization Name:PERSONAL COMPANIONS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-442-0082
Mailing Address - Street 1:220 EAST LANIER ST STE 7
Mailing Address - Street 2:
Mailing Address - City:FAYETTVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214
Mailing Address - Country:US
Mailing Address - Phone:513-442-0082
Mailing Address - Fax:
Practice Address - Street 1:220 EAST LANIER ST STE 7
Practice Address - Street 2:
Practice Address - City:FAYETTVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214
Practice Address - Country:US
Practice Address - Phone:513-442-0082
Practice Address - Fax:513-442-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health