Provider Demographics
NPI:1275237828
Name:COMPASSION HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:COMPASSION HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MODESTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-336-7466
Mailing Address - Street 1:3402 BRASILIA
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-1229
Mailing Address - Country:US
Mailing Address - Phone:956-336-7466
Mailing Address - Fax:
Practice Address - Street 1:524 E LOS EBANOS BLVD STE C
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-4254
Practice Address - Country:US
Practice Address - Phone:956-572-1908
Practice Address - Fax:888-388-8379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX465886601Medicaid