Provider Demographics
NPI:1720385743
Name:COMPASSIONCARE SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSIONCARE SERVICES, LLC
Other - Org Name:COMPASSIONCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHUETT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:612-867-9017
Mailing Address - Street 1:620 MENDELSSOHN AVE N
Mailing Address - Street 2:SUITE 107
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4310
Mailing Address - Country:US
Mailing Address - Phone:218-477-1008
Mailing Address - Fax:218-477-1009
Practice Address - Street 1:100 3RD ST N
Practice Address - Street 2:SUITE 100
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-1973
Practice Address - Country:US
Practice Address - Phone:218-477-1008
Practice Address - Fax:218-477-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN352167253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care