Provider Demographics
NPI:1851606867
Name:COMPASSIONATE HEARTS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HEARTS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-216-4406
Mailing Address - Street 1:2246 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1019
Mailing Address - Country:US
Mailing Address - Phone:614-216-4406
Mailing Address - Fax:
Practice Address - Street 1:914 B EMPIRE DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-6979
Practice Address - Country:US
Practice Address - Phone:740-348-5837
Practice Address - Fax:740-348-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health