Provider Demographics
NPI:1356072326
Name:COMPASSIONATE LOVE HOME CARE INC
Entity Type:Organization
Organization Name:COMPASSIONATE LOVE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-481-6130
Mailing Address - Street 1:4408 DELWOOD LN STE 5
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32408-7492
Mailing Address - Country:US
Mailing Address - Phone:850-481-6130
Mailing Address - Fax:
Practice Address - Street 1:4408 DELWOOD LN STE 5
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32408-7492
Practice Address - Country:US
Practice Address - Phone:850-481-6130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care