Provider Demographics
NPI:1275170896
Name:COMPASSIONATE CARE LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOLLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-594-0846
Mailing Address - Street 1:6305 GENERAL LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-3069
Mailing Address - Country:US
Mailing Address - Phone:952-594-0846
Mailing Address - Fax:
Practice Address - Street 1:6305 GENERAL LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-3069
Practice Address - Country:US
Practice Address - Phone:952-594-0846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health