Provider Demographics
NPI:1760658884
Name:COMPASSIONATE SENIOR & ADULT CARE
Entity Type:Organization
Organization Name:COMPASSIONATE SENIOR & ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-646-2505
Mailing Address - Street 1:443 RICHMOND PARK W
Mailing Address - Street 2:#D529
Mailing Address - City:RICHMOND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1894
Mailing Address - Country:US
Mailing Address - Phone:440-646-2505
Mailing Address - Fax:440-646-2505
Practice Address - Street 1:443 RICHMOND PARK W
Practice Address - Street 2:SUITE D529
Practice Address - City:RICHMOND HTS.
Practice Address - State:OH
Practice Address - Zip Code:44143-1894
Practice Address - Country:US
Practice Address - Phone:440-646-2505
Practice Address - Fax:440-646-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health