Provider Demographics
NPI:1972288231
Name:COMPASSIONATE CONCIERGE FOR SENIORS LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CONCIERGE FOR SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:919-428-1869
Mailing Address - Street 1:503 SUNGLOW CT
Mailing Address - Street 2:
Mailing Address - City:EFLAND
Mailing Address - State:NC
Mailing Address - Zip Code:27243-9495
Mailing Address - Country:US
Mailing Address - Phone:919-428-1869
Mailing Address - Fax:
Practice Address - Street 1:503 SUNGLOW CT
Practice Address - Street 2:
Practice Address - City:EFLAND
Practice Address - State:NC
Practice Address - Zip Code:27243-9495
Practice Address - Country:US
Practice Address - Phone:919-428-1869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care