Provider Demographics
NPI:1780031336
Name:COMPASSIONATE COMPANIONS, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE COMPANIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HEAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-241-9377
Mailing Address - Street 1:PO BOX 690674
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-0012
Mailing Address - Country:US
Mailing Address - Phone:254-432-8850
Mailing Address - Fax:
Practice Address - Street 1:3006 WISTERIA LN
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-4961
Practice Address - Country:US
Practice Address - Phone:254-432-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty