MEDICARE: AIDES AND COMPANIONS 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1285269118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDES AND COMPANIONS LLC

Provider Business Mailing Address
First Line	:	65 ELM ST
Second Line	:
City	:	WEST HAVEN
State	:	CT
Zip	:	06516-3808
Country	:	US
Telephone Number	:	203-777-1234
Fax Number	:	203-883-1984

Provider Business Practice Location Address
First Line	:	65 ELM ST
Second Line	:
City	:	WEST HAVEN
State	:	CT
Zip	:	06516-3808
Country	:	US
Telephone Number	:	203-777-1234
Fax Number	:	203-883-1984

Authorized Official
Title or Position	:	GM
Name	:	MR. STUART ROSENKRANTZ
Credential	:
Telephone Number	:	203-777-1234

Provider Enumeration Date	:	03/11/2020
Last Update Date	:	03/11/2020

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