Provider Demographics
NPI:1710750526
Name:COMPASSIONATE CARING HOME CARE D9 INC
Entity Type:Organization
Organization Name:COMPASSIONATE CARING HOME CARE D9 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUSTUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-900-3334
Mailing Address - Street 1:55 SE 2ND AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3615
Mailing Address - Country:US
Mailing Address - Phone:561-900-3334
Mailing Address - Fax:561-491-6585
Practice Address - Street 1:55 SE 2ND AVE STE 310
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3615
Practice Address - Country:US
Practice Address - Phone:561-900-3334
Practice Address - Fax:561-491-6585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health