Provider Demographics
NPI:1316557283
Name:COMPASSIONS COMPANION CARE, LLC
Entity Type:Organization
Organization Name:COMPASSIONS COMPANION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEADMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-554-2284
Mailing Address - Street 1:PO BOX 343507
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33034-0507
Mailing Address - Country:US
Mailing Address - Phone:786-554-2284
Mailing Address - Fax:888-411-2030
Practice Address - Street 1:2372 SE 12TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2150
Practice Address - Country:US
Practice Address - Phone:786-636-5365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty