Provider Demographics
NPI:1093231276
Name:COMPASSIONATE HOME HEALTH LTD
Entity Type:Organization
Organization Name:COMPASSIONATE HOME HEALTH LTD
Other - Org Name:COMPASSIONATE HOME HEALTH, LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/COO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LUISA NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:APIN-OBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF PT
Authorized Official - Phone:916-677-1711
Mailing Address - Street 1:4403 CHEVAL WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-6369
Mailing Address - Country:US
Mailing Address - Phone:916-677-7193
Mailing Address - Fax:916-677-1729
Practice Address - Street 1:1100 MELODY LANE
Practice Address - Street 2:SUITE 106
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678
Practice Address - Country:US
Practice Address - Phone:916-757-4689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-18
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1093231276Medicaid
CO1922324938Medicaid