Provider Demographics
NPI:1326546748
Name:COMPASSIONATE HEARTS LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:FAID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:952-855-2098
Mailing Address - Street 1:2833 13TH AVE S UNIT 105
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1985
Mailing Address - Country:US
Mailing Address - Phone:952-855-2098
Mailing Address - Fax:
Practice Address - Street 1:2833 13TH AVE S UNIT 105
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1985
Practice Address - Country:US
Practice Address - Phone:952-855-2098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN385054251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health