Provider Demographics
NPI:1902095904
Name:COMPANION HOME HEALTH INC.
Entity type:Organization
Organization Name:COMPANION HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. OF REIMBURSEMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-664-0974
Mailing Address - Street 1:4199 FLAT ROCK DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-7117
Mailing Address - Country:US
Mailing Address - Phone:951-371-4274
Mailing Address - Fax:951-371-6995
Practice Address - Street 1:4199 FLAT ROCK DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-7117
Practice Address - Country:US
Practice Address - Phone:951-371-4274
Practice Address - Fax:951-371-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health