Provider Demographics
NPI:1659989663
Name:COMPASSIONATE HOME CARE & STAFFING
Entity Type:Organization
Organization Name:COMPASSIONATE HOME CARE & STAFFING
Other - Org Name:COMPASSIONATE HOME CARE & COMMUNITY SERVICES L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:PSSA/DIDD
Authorized Official - Phone:931-327-5276
Mailing Address - Street 1:4735 SEQUATCHIE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SEQUATCHIE
Mailing Address - State:TN
Mailing Address - Zip Code:37374-7069
Mailing Address - Country:US
Mailing Address - Phone:931-327-5276
Mailing Address - Fax:931-463-9008
Practice Address - Street 1:1045 WEST MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:SEWANEE
Practice Address - State:TN
Practice Address - Zip Code:37375-2205
Practice Address - Country:US
Practice Address - Phone:931-327-5276
Practice Address - Fax:931-463-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1255848842Medicaid
TN1659989663Medicaid