Provider Demographics
NPI:1497939854
Name:COMPASSION HEALTHCARE LLC
Entity Type:Organization
Organization Name:COMPASSION HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:AYRES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:409-212-1579
Mailing Address - Street 1:2501 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1622
Mailing Address - Country:US
Mailing Address - Phone:409-212-1579
Mailing Address - Fax:409-832-4453
Practice Address - Street 1:2501 NORTH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1622
Practice Address - Country:US
Practice Address - Phone:409-212-1579
Practice Address - Fax:409-832-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011554251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based