Provider Demographics
NPI:1568909307
Name:COMPASSION FIRST HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COMPASSION FIRST HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HYLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-652-8646
Mailing Address - Street 1:5200 NW 33RD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6398
Mailing Address - Country:US
Mailing Address - Phone:954-652-8646
Mailing Address - Fax:
Practice Address - Street 1:5200 NW 33RD AVE STE 201
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6398
Practice Address - Country:US
Practice Address - Phone:954-676-9923
Practice Address - Fax:954-676-9925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994627251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health