Provider Demographics
NPI:1578121950
Name:COMPASSIONATE HOMEMAKERS,LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HOMEMAKERS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SALISHA
Authorized Official - Middle Name:CHANTE
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:HHA,CNA
Authorized Official - Phone:814-920-4110
Mailing Address - Street 1:2710 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-1763
Mailing Address - Country:US
Mailing Address - Phone:814-920-4110
Mailing Address - Fax:814-217-1394
Practice Address - Street 1:2710 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-1763
Practice Address - Country:US
Practice Address - Phone:814-920-4110
Practice Address - Fax:814-217-1394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care
No305S00000XManaged Care OrganizationsPoint of Service
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA49443601OtherDOH
PA1038231860001Medicaid