Organization
COMPANION SERVICES OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SMITH SHAPIRO MSW (MANAGING DIRECTOR)
(847) 948-0860
Entity
Organization
Contact information
Practice address
420 LAKE COOK RD STE 112, DEERFIELD, IL 60015-4914
(847) 948-0860
(847) 948-9819
Mailing address
420 LAKE COOK RD STE 112, DEERFIELD, IL 60015-4914
(847) 948-0860
(847) 948-9819
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000559
HOME SERVICE AGENCY
IL
01
—
4000521
HOME NURSING AGENCY
IL
Enumeration date
02/27/2019
Last updated
02/27/2019
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