Provider Demographics
NPI:1609178490
Name:COMPASSIONATE CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCES
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-664-6611
Mailing Address - Street 1:1000 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-2228
Mailing Address - Country:US
Mailing Address - Phone:413-664-6611
Mailing Address - Fax:413-664-6610
Practice Address - Street 1:1000 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2228
Practice Address - Country:US
Practice Address - Phone:413-664-6611
Practice Address - Fax:413-664-6610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7485251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health