Provider Demographics
NPI:1558028530
Name:COMPASSION & CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COMPASSION & CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:COMANCHE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-789-9910
Mailing Address - Street 1:3431 WESTMINISTER AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2913
Mailing Address - Country:US
Mailing Address - Phone:318-789-9910
Mailing Address - Fax:318-570-5153
Practice Address - Street 1:204 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5124
Practice Address - Country:US
Practice Address - Phone:318-600-6323
Practice Address - Fax:318-570-5153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty