Healthcare Provider Details

I. General information

NPI: 1184245995
Provider Name (Legal Business Name): COMPANION NURSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 E 20TH ST APT 7C
NEW YORK NY
10009-1500
US

IV. Provider business mailing address

626 E 20TH ST APT 7C
NEW YORK NY
10009-1500
US

V. Phone/Fax

Practice location:
  • Phone: 332-877-6154
  • Fax:
Mailing address:
  • Phone: 332-877-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDA VOONG
Title or Position: OWNER
Credential: RN
Phone: 332-877-6154