Healthcare Provider Details

I. General information

NPI: 1902701030
Provider Name (Legal Business Name): COMPANION AMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W GAY ST
WEST CHESTER PA
19380-2801
US

IV. Provider business mailing address

406 W GAY ST
WEST CHESTER PA
19380-2801
US

V. Phone/Fax

Practice location:
  • Phone: 484-787-7781
  • Fax:
Mailing address:
  • Phone: 484-787-7781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SIMON PETER GASUZA
Title or Position: CEO
Credential:
Phone: 484-787-7781