Healthcare Provider Details

I. General information

NPI: 1457510588
Provider Name (Legal Business Name): CARE COMPANIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 06/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 ST ANN STREET
OWENSBORO KY
42303-4150
US

IV. Provider business mailing address

326 ST ANN STREET
OWENSBORO KY
42303-4150
US

V. Phone/Fax

Practice location:
  • Phone: 270-689-2393
  • Fax: 270-689-2394
Mailing address:
  • Phone: 270-689-2393
  • Fax: 270-689-2394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateKY

VIII. Authorized Official

Name: MRS. DANA GAYE WALDIE
Title or Position: CO-OWNER
Credential:
Phone: 270-689-2393