Provider Demographics
NPI:1093493116
Name:COMPASSION AT HEART HOMEHEALTH CARE
Entity Type:Organization
Organization Name:COMPASSION AT HEART HOMEHEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCMA/CNA
Authorized Official - Prefix:
Authorized Official - First Name:DONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-486-7284
Mailing Address - Street 1:9506 ARDWICK ARDMORE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2511
Mailing Address - Country:US
Mailing Address - Phone:240-486-7284
Mailing Address - Fax:301-576-5347
Practice Address - Street 1:9506 ARDWICK ARDMORE RD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-2511
Practice Address - Country:US
Practice Address - Phone:240-486-7284
Practice Address - Fax:301-576-5347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care