Provider Demographics
NPI:1144785965
Name:COMPASSIONATE HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HOSPICE CARE, LLC
Other - Org Name:COMMUNITY HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IJAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:YAQOOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-598-7822
Mailing Address - Street 1:10524 GRAND RIVER RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9559
Mailing Address - Country:US
Mailing Address - Phone:989-598-7822
Mailing Address - Fax:
Practice Address - Street 1:10524 GRAND RIVER RD STE 104
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-9559
Practice Address - Country:US
Practice Address - Phone:989-598-7822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based