Provider Demographics
NPI:1760769137
Name:COMPASSIONATE HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HOME CARE SERVICES LLC
Other - Org Name:COMPASSION IN HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KLEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-783-1933
Mailing Address - Street 1:15672 CASTLEWOODS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-4805
Mailing Address - Country:US
Mailing Address - Phone:818-783-1933
Mailing Address - Fax:818-783-0488
Practice Address - Street 1:15672 CASTLEWOODS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-4805
Practice Address - Country:US
Practice Address - Phone:818-783-1933
Practice Address - Fax:818-783-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-12
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health