Provider Demographics
NPI:1518439041
Name:COMPASSIONATE HEARTS CARE
Entity Type:Organization
Organization Name:COMPASSIONATE HEARTS CARE
Other - Org Name:COMPASSIONATE HEARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:COLENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-304-2000
Mailing Address - Street 1:125 FIRST ST N
Mailing Address - Street 2:
Mailing Address - City:WIGGINS
Mailing Address - State:MS
Mailing Address - Zip Code:39577-3342
Mailing Address - Country:US
Mailing Address - Phone:601-304-2000
Mailing Address - Fax:
Practice Address - Street 1:110 1/2 NORTHGATE RD
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-9161
Practice Address - Country:US
Practice Address - Phone:601-514-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child