Provider Demographics
NPI:1578130514
Name:COMPASSIONATE CARE SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE SERVICES, LLC
Other - Org Name:COMPASSIONATE CARE SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARROLL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-473-5323
Mailing Address - Street 1:2901 DRUID PARK DR STE 103
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8197
Mailing Address - Country:US
Mailing Address - Phone:443-473-5323
Mailing Address - Fax:443-869-4178
Practice Address - Street 1:2901 DRUID PARK DR STE 103
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-8197
Practice Address - Country:US
Practice Address - Phone:443-473-5323
Practice Address - Fax:443-869-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health