# COMPANION HOME SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPRA Home Care of Shreveport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306181680
- **Authorized official:** MR. LARRY BUTLER (PRESIDENT)
- **Authorized official phone:** (504) 837-5557

## Contact information

- **Practice address:** 668 JORDAN, SUITE B, SHREVEPORT, LA 71101-4760
- **Practice address phone:** (225) 368-3181
- **Practice address fax:** (225) 757-1104
- **Mailing address:** 10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
- **Mailing address phone:** (225) 368-3181
- **Mailing address fax:** (225) 757-1104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 15368 | LA | Yes |

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 10/11/2013