Provider Demographics
NPI:1679224521
Name:COMPASSIONATE COMPANIONS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE COMPANIONS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:OLUSEGUN
Authorized Official - Middle Name:AYODELE
Authorized Official - Last Name:OLARINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-626-2833
Mailing Address - Street 1:1459 BILLY MAX DR SW
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2059
Mailing Address - Country:US
Mailing Address - Phone:404-626-2833
Mailing Address - Fax:
Practice Address - Street 1:1459 BILLY MAX DR SW
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-2059
Practice Address - Country:US
Practice Address - Phone:404-626-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care