Provider Demographics
NPI:1508474420
Name:COMPASSIONATE HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ABRA
Authorized Official - Middle Name:ELLISA
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-507-1508
Mailing Address - Street 1:41979 W HILLMAN DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-2249
Mailing Address - Country:US
Mailing Address - Phone:414-507-1508
Mailing Address - Fax:
Practice Address - Street 1:41979 W HILLMAN DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-2249
Practice Address - Country:US
Practice Address - Phone:414-507-1508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health