Provider Demographics
NPI:1851112213
Name:AZF COMPANION CARE INC.
Entity type:Organization
Organization Name:AZF COMPANION CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANUSKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALLOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-354-0913
Mailing Address - Street 1:21903 143RD RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-3114
Mailing Address - Country:US
Mailing Address - Phone:570-354-0913
Mailing Address - Fax:
Practice Address - Street 1:27 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1230
Practice Address - Country:US
Practice Address - Phone:570-354-0913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care