# COMPANION OF CARE HOME HEALTH INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124374301
- **Authorized official:** VESHA JONES (ADMINISTRATOR)
- **Authorized official phone:** (757) 934-3399

## Contact information

- **Practice address:** 2470 PRUDEN BLVD, SUFFOLK, VA 23434-4206
- **Practice address phone:** (757) 934-3399
- **Practice address fax:** (757) 934-3389
- **Mailing address:** 424 N MAIN ST, SUITE 3, SUFFOLK, VA 23434-4428
- **Mailing address phone:** (757) 934-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-13827 | VA | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2012
- **Last updated:** 08/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0156659127 | — | VA |
| 05 | — | 0156659804 | — | VA |