MEDICARE: CARING COMPANION PROVIDERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1285238709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING COMPANION PROVIDERS LLC

Provider Business Mailing Address
First Line	:	210 GERRY ST
Second Line	:
City	:	READING
State	:	PA
Zip	:	19611-1822
Country	:	US
Telephone Number	:	610-589-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 GERRY ST
Second Line	:
City	:	READING
State	:	PA
Zip	:	19611-1822
Country	:	US
Telephone Number	:	610-589-0007
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA ZULEMA JONES
Credential	:
Telephone Number	:	484-388-0029

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	11/24/2020

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