Provider Demographics
NPI:1033383963
Name:COMPASSIONATE PLACE HOME INC.
Entity Type:Organization
Organization Name:COMPASSIONATE PLACE HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:O
Authorized Official - Last Name:HEDGPETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-395-5131
Mailing Address - Street 1:3401 SHERYL DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4152
Mailing Address - Country:US
Mailing Address - Phone:919-395-5131
Mailing Address - Fax:919-325-0722
Practice Address - Street 1:3401 SHERYL DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-4152
Practice Address - Country:US
Practice Address - Phone:919-395-5131
Practice Address - Fax:919-325-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health