Provider Demographics
NPI:1760156483
Name:COMPASSIONATE CAREGIVERS HOME HEALTHCARE, LLC.
Entity Type:Organization
Organization Name:COMPASSIONATE CAREGIVERS HOME HEALTHCARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAKEYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-305-1508
Mailing Address - Street 1:545 W MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1626
Mailing Address - Country:US
Mailing Address - Phone:334-305-1508
Mailing Address - Fax:
Practice Address - Street 1:545 W MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1626
Practice Address - Country:US
Practice Address - Phone:334-305-1508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health