Provider Demographics
NPI:1275031148
Name:COMPASSION & SYMPATHY HOME SERVICES
Entity Type:Organization
Organization Name:COMPASSION & SYMPATHY HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARDOUS
Authorized Official - Middle Name:H
Authorized Official - Last Name:SULTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-633-0273
Mailing Address - Street 1:7220 OWENSMOUTH AVE STE 204A
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1592
Mailing Address - Country:US
Mailing Address - Phone:323-633-0273
Mailing Address - Fax:
Practice Address - Street 1:7220 OWENSMOUTH AVE STE 204A
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1592
Practice Address - Country:US
Practice Address - Phone:323-633-0273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO194700477251E00000X
CA194700477251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA194700477OtherHOME HEALTH CARE