Provider Demographics
NPI:1477858223
Name:COMPASSIONATE HOME CARE AGENCY
Entity Type:Organization
Organization Name:COMPASSIONATE HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:GORMAH
Authorized Official - Middle Name:PINKY
Authorized Official - Last Name:KOLLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-758-7136
Mailing Address - Street 1:3101 WOODHAVEN RD
Mailing Address - Street 2:APT. N-4
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-1743
Mailing Address - Country:US
Mailing Address - Phone:215-758-7136
Mailing Address - Fax:267-914-4549
Practice Address - Street 1:1723 WOODBOURNE RD
Practice Address - Street 2:SUITE B220
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1510
Practice Address - Country:US
Practice Address - Phone:215-543-7004
Practice Address - Fax:267-914-4549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health