Provider Demographics
NPI:1679907695
Name:COMPASSION CARING HANDS LLC
Entity Type:Organization
Organization Name:COMPASSION CARING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWNIELLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-565-3582
Mailing Address - Street 1:1409 WASHINGTON AVE
Mailing Address - Street 2:STE. 205
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-1905
Mailing Address - Country:US
Mailing Address - Phone:314-853-0122
Mailing Address - Fax:314-552-7365
Practice Address - Street 1:1409 WASHINGTON AVE
Practice Address - Street 2:STE. 205
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-1905
Practice Address - Country:US
Practice Address - Phone:314-853-0122
Practice Address - Fax:314-552-7365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1336799251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1336799Medicaid