Provider Demographics
NPI:1568136398
Name:COMPASSIONATE CARE IN HOME CARE LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALEKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-383-5266
Mailing Address - Street 1:7545 N DEL MAR AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-5847
Mailing Address - Country:US
Mailing Address - Phone:559-432-2003
Mailing Address - Fax:
Practice Address - Street 1:7545 N DEL MAR AVE STE 206
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-5847
Practice Address - Country:US
Practice Address - Phone:559-432-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care