Provider Demographics
NPI:1922122522
Name:CAMPASSIONATE STAFFING HOMECARE LLC
Entity Type:Organization
Organization Name:CAMPASSIONATE STAFFING HOMECARE LLC
Other - Org Name:COMPASSIONATE STAFFING LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:GAUTREAUX
Authorized Official - Last Name:BOCHICCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:603-831-2027
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:FITZWILLIAM
Mailing Address - State:NH
Mailing Address - Zip Code:03447-0187
Mailing Address - Country:US
Mailing Address - Phone:603-831-2027
Mailing Address - Fax:603-899-6485
Practice Address - Street 1:8 BRADFORD ST
Practice Address - Street 2:
Practice Address - City:RINDGE
Practice Address - State:NH
Practice Address - Zip Code:03461-5104
Practice Address - Country:US
Practice Address - Phone:603-899-6445
Practice Address - Fax:603-899-6485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03222251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health