Provider Demographics
NPI:1508611211
Name:COMPASSIONATE CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-729-2370
Mailing Address - Street 1:4685 49TH AVE S APT 201
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-4433
Mailing Address - Country:US
Mailing Address - Phone:701-729-2370
Mailing Address - Fax:
Practice Address - Street 1:4685 49TH AVE S APT 201
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4433
Practice Address - Country:US
Practice Address - Phone:701-729-2370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty