Provider Demographics
NPI:1942663687
Name:COMPASSION HOME HEALTH
Entity Type:Organization
Organization Name:COMPASSION HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-206-4213
Mailing Address - Street 1:8622 RESEDA BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4089
Mailing Address - Country:US
Mailing Address - Phone:818-206-4213
Mailing Address - Fax:818-294-7123
Practice Address - Street 1:8622 RESEDA BLVD STE 211
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4089
Practice Address - Country:US
Practice Address - Phone:818-206-4213
Practice Address - Fax:818-294-7123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based