Provider Demographics
NPI:1821410333
Name:COMPASSION AT HOME INC
Entity Type:Organization
Organization Name:COMPASSION AT HOME INC
Other - Org Name:COMPASSION AT HOME SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYRES
Authorized Official - Suffix:
Authorized Official - Credentials:RN MBA
Authorized Official - Phone:409-498-3792
Mailing Address - Street 1:3775 MILAM ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4725
Mailing Address - Country:US
Mailing Address - Phone:409-498-3792
Mailing Address - Fax:
Practice Address - Street 1:3775 MILAM ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4725
Practice Address - Country:US
Practice Address - Phone:409-498-3792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care