Provider Demographics
NPI:1407303803
Name:COMPASSIONATE HEART HOME HEALTH
Entity Type:Organization
Organization Name:COMPASSIONATE HEART HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-360-8342
Mailing Address - Street 1:3003 NEAL CT NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709
Mailing Address - Country:US
Mailing Address - Phone:234-360-8342
Mailing Address - Fax:133-031-3375
Practice Address - Street 1:3003 NEAL CT NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2818
Practice Address - Country:US
Practice Address - Phone:234-360-8342
Practice Address - Fax:133-031-3375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health