MEDICARE: HOME HEALTH COMPANIONS

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	:	1881461010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH COMPANIONS

Provider Business Mailing Address
First Line	:	5015 W HANOVER AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-3309
Country	:	US
Telephone Number	:	214-295-8213
Fax Number	:	214-295-8261

Provider Business Practice Location Address
First Line	:	8215 WESTCHESTER DR STE 213
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6116
Country	:	US
Telephone Number	:	214-295-8213
Fax Number	:	214-295-8261

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LISA SHARDON
Credential	:
Telephone Number	:	214-295-8213

Provider Enumeration Date	:	12/07/2023
Last Update Date	:	12/07/2023

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Directions to “HOME HEALTH COMPANIONS ” Practice Location

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