Provider Demographics
NPI:1801611256
Name:TRUSTED COMPANION HOME CARE INC
Entity type:Organization
Organization Name:TRUSTED COMPANION HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-777-0776
Mailing Address - Street 1:9625 DAVID TAYLOR DR STE 122
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-2362
Mailing Address - Country:US
Mailing Address - Phone:704-412-8472
Mailing Address - Fax:
Practice Address - Street 1:9625 DAVID TAYLOR DR STE 122
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2362
Practice Address - Country:US
Practice Address - Phone:704-412-8472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care