| Community Companion Home Care, Llc | |
|
49a State St Marion NC 28752-4020 | |
| (828) 659-6453 | |
| (828) 559-8031 |
| Full Name | Community Companion Home Care, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 49a State St, Marion, North Carolina |
| Authorized Official Name and Position | Aimee M Smith (CEO) |
| Authorized Official Contact | 8286596453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Companion Home Care, Llc 49a State St Marion NC 28752-4020 Ph: (828) 659-6453 | Community Companion Home Care, Llc 49a State St Marion NC 28752-4020 Ph: (828) 659-6453 |
| NPI Number | 1720138712 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 4789022062 |
|---|---|
| Medicare Enrollment ID | O20240405000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720138712 | NPI | - | NPPES |
| 6600787 | Medicaid | NC | |
| 3418904 | Medicaid | NC |
| Provider Name | Tabitha Wendy Paben |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902348428 PECOS PAC ID: 7214375518 Enrollment ID: I20240405000849 |
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