Provider Demographics
NPI:1164280095
Name:COMPASSIONATE ASSISTANCE III, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE ASSISTANCE III, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-716-2601
Mailing Address - Street 1:7014 E CAMELBACK RD STE B100A
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1247
Mailing Address - Country:US
Mailing Address - Phone:484-716-2601
Mailing Address - Fax:
Practice Address - Street 1:7014 E CAMELBACK RD STE B100A
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1247
Practice Address - Country:US
Practice Address - Phone:484-716-2601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care