Provider Demographics
NPI:1689798803
Name:COMPASSIONATE HOME CARE
Entity Type:Organization
Organization Name:COMPASSIONATE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN-BAN
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:MARIE ECKER
Authorized Official - Last Name:EEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-730-0482
Mailing Address - Street 1:14818 COUNTY ROAD 4
Mailing Address - Street 2:
Mailing Address - City:GREENBUSH
Mailing Address - State:MN
Mailing Address - Zip Code:56726-9380
Mailing Address - Country:US
Mailing Address - Phone:701-730-0482
Mailing Address - Fax:218-782-4191
Practice Address - Street 1:14818 COUNTY ROAD 4
Practice Address - Street 2:
Practice Address - City:GREENBUSH
Practice Address - State:MN
Practice Address - Zip Code:56726-9380
Practice Address - Country:US
Practice Address - Phone:701-730-0482
Practice Address - Fax:218-782-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 143136-4251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health