MEDICARE: MALIBU COMPANION SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1234	OTHER	AGENT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235638412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALIBU COMPANION SERVICES, LLC

Provider Business Mailing Address
First Line	:	8106 WOODLAND CT SE
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-3958
Country	:	US
Telephone Number	:	770-873-6303
Fax Number	:	678-625-2662

Provider Business Practice Location Address
First Line	:	7407 COCOANUT DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6421
Country	:	US
Telephone Number	:	770-873-6303
Fax Number	:	678-625-2662

Authorized Official
Title or Position	:	RN
Name	:	MARTHE PIERRE
Credential	:
Telephone Number	:	770-873-6303

Provider Enumeration Date	:	02/02/2018
Last Update Date	:	02/02/2018

Similar Medicare Providers

1023010840 — DR. JOSEPH MAUGHAN KENT D.D.S.
Practice Location Address:

6421 LYNCH CANYON DR
LAKE ISABELLA, CA
93240-9726

Practice Phone: 760-379-3626
Practice Fax:

1225242431 — MS. AMIRA DOUCETTE LPC, LLP
Practice Location Address:

6421 ALDEN DR
ORCHARD LAKE, MI
48324-2003

Practice Phone: 248-933-9329
Practice Fax: 248-624-7901

1033343785 — MS. DENISE K. FIELDS LICENSED DIETITIAN
Practice Location Address:

733 LAKE LAURIE DR
VALDOSTA, GA
31605-6421

Practice Phone: 229-630-3833
Practice Fax:

1184040610 — JOSEPH M KENT DDS INC.
Practice Location Address:

6421 LYNCH CANYON DRIVE
LAKE ISABELLA, CA
93240

Practice Phone: 760-379-3625
Practice Fax: 760-230-9165

1306154992 — A&A ADVANTAGE CARE LLC
Practice Location Address:

6421 CAMP BOWIE BLVD STE 202
FORT WORTH, TX
76116-5401

Practice Phone: 682-385-9133
Practice Fax:

1093793481 — ADVANTAGE HOME CARE INC.
Practice Location Address:

6421 CAMP BOWIE BLVD , SUITE 100
FORT WORTH, TX
76116-5401

Practice Phone: 817-737-4300
Practice Fax: 817-737-4305

Directions to “MALIBU COMPANION SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.