Provider Demographics
NPI:1972948743
Name:COMPASSIONATE CARE PROVIDERS PLUS LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE PROVIDERS PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-867-6511
Mailing Address - Street 1:1450 W GRAND PKWY S
Mailing Address - Street 2:SUITE G 443
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8286
Mailing Address - Country:US
Mailing Address - Phone:832-867-6511
Mailing Address - Fax:
Practice Address - Street 1:23019 LANHAM DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1424
Practice Address - Country:US
Practice Address - Phone:832-867-6511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care