Provider Demographics
NPI:1619667821
Name:COMPASSION IN ABUNDANCE LLC
Entity Type:Organization
Organization Name:COMPASSION IN ABUNDANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATION MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-258-5468
Mailing Address - Street 1:15897 SPRINGS VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4914
Mailing Address - Country:US
Mailing Address - Phone:734-921-3910
Mailing Address - Fax:
Practice Address - Street 1:15897 SPRINGS VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4914
Practice Address - Country:US
Practice Address - Phone:734-921-3910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health