Provider Demographics
NPI:1669025664
Name:COMPASSIONATE HEARTS HOME SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE HEARTS HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LASHEBA
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-467-1343
Mailing Address - Street 1:102 HARMON ST STE A
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3526
Mailing Address - Country:US
Mailing Address - Phone:803-520-0395
Mailing Address - Fax:
Practice Address - Street 1:102 HARMON ST STE A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3526
Practice Address - Country:US
Practice Address - Phone:803-520-0395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care