Provider Demographics
NPI:1629593876
Name:COMPASSIONATE CARE HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FACEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-639-3705
Mailing Address - Street 1:7215 NW 49TH CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-3446
Mailing Address - Country:US
Mailing Address - Phone:954-639-3705
Mailing Address - Fax:
Practice Address - Street 1:7215 NW 49TH COURT
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319
Practice Address - Country:US
Practice Address - Phone:954-639-3705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9348678163W00000X
FL234514253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty