Provider Demographics
NPI:1144615832
Name:VELAS COMPASSION HOMECARE SVCS INC
Entity Type:Organization
Organization Name:VELAS COMPASSION HOMECARE SVCS INC
Other - Org Name:VELA'S COMPASSION SERVICES, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSENAT
Authorized Official - Suffix:
Authorized Official - Credentials:CASE MANAGER
Authorized Official - Phone:410-900-6989
Mailing Address - Street 1:438 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-5928
Mailing Address - Country:US
Mailing Address - Phone:410-900-6989
Mailing Address - Fax:561-336-4013
Practice Address - Street 1:438 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-5928
Practice Address - Country:US
Practice Address - Phone:561-806-9711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VELAS COMPASSION HOMECARE SVCS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-31
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015113000Medicaid