Provider Demographics
NPI:1295214617
Name:COMPASSIONATE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:UZOMA
Authorized Official - Last Name:EGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-616-9679
Mailing Address - Street 1:8725 LOCH RAVEN BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2218
Mailing Address - Country:US
Mailing Address - Phone:410-292-8440
Mailing Address - Fax:410-616-9687
Practice Address - Street 1:8725 LOCH RAVEN BLVD STE 202
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2218
Practice Address - Country:US
Practice Address - Phone:410-292-8440
Practice Address - Fax:410-616-9687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)