Provider Demographics
NPI:1679937361
Name:COMPANION MANAGEMENT, LLC
Entity type:Organization
Organization Name:COMPANION MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENZIE
Authorized Official - Middle Name:BROGDEN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-571-3000
Mailing Address - Street 1:11 GAMECOCK AVE STE 1105
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3380
Mailing Address - Country:US
Mailing Address - Phone:843-571-3000
Mailing Address - Fax:843-571-1111
Practice Address - Street 1:29 GAMECOCK AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3366
Practice Address - Country:US
Practice Address - Phone:843-571-3000
Practice Address - Fax:843-571-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care