Provider Demographics
NPI:1962833483
Name:COMPASSIONATE NURSES NETWORK LLC
Entity Type:Organization
Organization Name:COMPASSIONATE NURSES NETWORK LLC
Other - Org Name:CNN PCA AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCKISSIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-522-5232
Mailing Address - Street 1:1419 PENN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3049
Mailing Address - Country:US
Mailing Address - Phone:612-522-5232
Mailing Address - Fax:
Practice Address - Street 1:1419 PENN AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3049
Practice Address - Country:US
Practice Address - Phone:612-522-5232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASSIONATE NURSES NETWORK LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health