Provider Demographics
NPI:1861026130
Name:COMPASSION PROVIDER SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSION PROVIDER SERVICES, LLC
Other - Org Name:COMPASSION PROVIDER SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:FALCON
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-639-2228
Mailing Address - Street 1:5425 N MCCOLL RD STE C
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2248
Mailing Address - Country:US
Mailing Address - Phone:956-599-9066
Mailing Address - Fax:956-599-9160
Practice Address - Street 1:5425 N MCCOLL RD STE C
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2248
Practice Address - Country:US
Practice Address - Phone:956-599-9066
Practice Address - Fax:956-599-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health