Provider Demographics
NPI:1497144638
Name:COMPASSIONATE CARE COORDINATION SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE CARE COORDINATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-969-6358
Mailing Address - Street 1:709 TREFOIL CT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3544
Mailing Address - Country:US
Mailing Address - Phone:412-969-6358
Mailing Address - Fax:412-646-1303
Practice Address - Street 1:709 TREFOIL CT
Practice Address - Street 2:SUITE 2
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3544
Practice Address - Country:US
Practice Address - Phone:412-969-6358
Practice Address - Fax:412-646-1303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management