Provider Demographics
NPI:1407612203
Name:COMPASSIONATE COMPANION HOMECARE AGENCY LLC
Entity Type:Organization
Organization Name:COMPASSIONATE COMPANION HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-432-4093
Mailing Address - Street 1:165 CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-0001
Mailing Address - Country:US
Mailing Address - Phone:484-432-4093
Mailing Address - Fax:
Practice Address - Street 1:165 CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-0001
Practice Address - Country:US
Practice Address - Phone:484-432-4093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care