Provider Demographics
NPI:1376316661
Name:COMPASSIONATE PLANET LLC
Entity Type:Organization
Organization Name:COMPASSIONATE PLANET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHEGE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP FNP
Authorized Official - Phone:770-757-0161
Mailing Address - Street 1:16909 124TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-9666
Mailing Address - Country:US
Mailing Address - Phone:770-757-0161
Mailing Address - Fax:
Practice Address - Street 1:16909 124TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-9666
Practice Address - Country:US
Practice Address - Phone:770-757-0161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care