Provider Demographics
NPI:1619463494
Name:COMPASSION CARE HOME, LLC
Entity Type:Organization
Organization Name:COMPASSION CARE HOME, LLC
Other - Org Name:COMPASSION CARE TRANSPORT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-809-7888
Mailing Address - Street 1:2863 N 64TH STREET
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215
Mailing Address - Country:US
Mailing Address - Phone:480-329-0168
Mailing Address - Fax:
Practice Address - Street 1:2863 N 64TH STREET
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215
Practice Address - Country:US
Practice Address - Phone:480-329-0168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle