Healthcare Provider Details

I. General information

NPI: 1427178565
Provider Name (Legal Business Name): COMPANION CAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PINE KNOLL DR
GREENVILLE SC
29609-3266
US

IV. Provider business mailing address

10 PINE KNOLL DR
GREENVILLE SC
29609-3266
US

V. Phone/Fax

Practice location:
  • Phone: 864-268-6100
  • Fax: 864-264-6434
Mailing address:
  • Phone: 864-268-6100
  • Fax: 864-264-6434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number07-24378
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number07-24378
License Number StateSC

VIII. Authorized Official

Name: MS. TAKENYA NATORI GALLMAN
Title or Position: OWNER
Credential:
Phone: 864-268-6100