MEDICARE: A COMPASSIONATE COMPANION, INC.

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	251E00000X	Home Health Agency	41	FL

General Provider Information

NPI Number	:	1366781437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A COMPASSIONATE COMPANION, INC.

Provider Business Mailing Address
First Line	:	931 12TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6718
Country	:	US
Telephone Number	:	561-719-9526
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 12TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6718
Country	:	US
Telephone Number	:	561-719-9526
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SEAN BIGGINS
Credential	:
Telephone Number	:	772-567-5333

Provider Enumeration Date	:	02/08/2013
Last Update Date	:	02/08/2013

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