Provider Demographics
NPI:1568195071
Name:COMPASSIONATE HEALTH OF GROVELAND LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HEALTH OF GROVELAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JHENELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-559-6831
Mailing Address - Street 1:676 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-2406
Mailing Address - Country:US
Mailing Address - Phone:352-236-9823
Mailing Address - Fax:352-433-4236
Practice Address - Street 1:676 W BROAD ST
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-2406
Practice Address - Country:US
Practice Address - Phone:352-236-9823
Practice Address - Fax:352-433-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-03
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care