Provider Demographics
NPI:1467854695
Name:COMPASSIONATE HANDS HOME & NURSING HOME CARE
Entity Type:Organization
Organization Name:COMPASSIONATE HANDS HOME & NURSING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKITA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:BOYETTE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:716-603-3161
Mailing Address - Street 1:224 TRAVERS CIRCLE APT A
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228
Mailing Address - Country:US
Mailing Address - Phone:716-603-3161
Mailing Address - Fax:
Practice Address - Street 1:224 TRAVERS CIRCLE APT A
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14228
Practice Address - Country:US
Practice Address - Phone:716-603-3161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health