Provider Demographics
NPI:1972853067
Name:COMPASSIONATE CARE ADVOCATES
Entity Type:Organization
Organization Name:COMPASSIONATE CARE ADVOCATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:EZZAT
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-802-0315
Mailing Address - Street 1:3277 TUMBLING RIVER DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-8909
Mailing Address - Country:US
Mailing Address - Phone:407-802-0315
Mailing Address - Fax:
Practice Address - Street 1:3277 TUMBLING RIVER DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-8909
Practice Address - Country:US
Practice Address - Phone:407-802-0315
Practice Address - Fax:866-571-5397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-15
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care