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NPI Code Detail

MEDICARE: COMPANION CARE HOME HEALTHCARE LLC

MEDICARE: COMPANION CARE HOME HEALTHCARE 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
1251E00000XHome Health Agency
2311ZA0620XAdult Care Home Facility
3343800000XSecured Medical Transport (VAN)
4343900000XNon-emergency Medical Transport (VAN)
5253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1306425392
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPANION CARE HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 24285 KATY FWY STE 300
Second Line :
City : KATY
State : TX
Zip : 77494-1128
Country : US
Telephone Number : 832-626-2933
Fax Number : 832-626-2989
Provider Business Practice Location Address
First Line : 11111 KATY FWY STE 910
Second Line :
City : HOUSTON
State : TX
Zip : 77079-2119
Country : US
Telephone Number : 832-626-2933
Fax Number : 832-626-2989
Authorized Official
Title or Position : OWNER
Name : MS. TAMARA MARIA OWENS
Credential :
Telephone Number : 414-334-3030
Provider Enumeration Date : 04/06/2021
Last Update Date : 08/15/2024

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Directions to “COMPANION CARE HOME HEALTHCARE LLC ” Practice Location

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