# COMPANION HOME AND COMMUNITY SERVICES LLC

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

## Provider details

- **NPI number:** 1629809694
- **Authorized official:** IDRIS GEYRE (MANAGER)
- **Authorized official phone:** (651) 294-6418

## Contact information

- **Practice address:** 175 JACKSON AVE N STE 262, HOPKINS, MN 55343-4565
- **Practice address phone:** (651) 294-6418
- **Mailing address:** 175 JACKSON AVE N STE 262, HOPKINS, MN 55343-4565
- **Mailing address phone:** (651) 294-6418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 08/12/2024