Provider Demographics
NPI:1740169689
Name:VLN COMPANION CARE LLC
Entity type:Organization
Organization Name:VLN COMPANION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:A'NEA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-889-4105
Mailing Address - Street 1:1248 EDGEWOOD AVE W # 3-35
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-2797
Mailing Address - Country:US
Mailing Address - Phone:904-889-4105
Mailing Address - Fax:
Practice Address - Street 1:1230 EDGEWOOD AVE W
Practice Address - Street 2:SUITE 3-35
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-2797
Practice Address - Country:US
Practice Address - Phone:904-889-4105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health