Healthcare Provider Details

I. General information

NPI: 1508733676
Provider Name (Legal Business Name): COMPANIONS IN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

843 E MAIN ST STE 303
MEDFORD OR
97504-7137
US

IV. Provider business mailing address

915 W LINDA AVE
SISTERS OR
97759-2514
US

V. Phone/Fax

Practice location:
  • Phone: 541-937-9273
  • Fax: 541-515-1159
Mailing address:
  • Phone: 541-460-0795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY HAAS
Title or Position: OWNER
Credential:
Phone: 541-460-0795