Provider Demographics
NPI:1851095319
Name:COMPASSION FAMILY HEALTH LLC
Entity Type:Organization
Organization Name:COMPASSION FAMILY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO - SOLO PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ROSELAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:323-237-8409
Mailing Address - Street 1:16154 CONDOR CIR
Mailing Address - Street 2:
Mailing Address - City:WEED
Mailing Address - State:CA
Mailing Address - Zip Code:96094-9408
Mailing Address - Country:US
Mailing Address - Phone:209-769-6112
Mailing Address - Fax:209-720-0139
Practice Address - Street 1:BUSINESS OFFICE
Practice Address - Street 2:1467 SISKIYOU BLVD. #2013
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2336
Practice Address - Country:US
Practice Address - Phone:323-237-8409
Practice Address - Fax:209-720-0139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service