Provider Demographics
NPI:1982229712
Name:COMPASSIONATE CARE IN HOME SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE CARE IN HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:BETTS
Authorized Official - Last Name:WYCHE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-725-1219
Mailing Address - Street 1:PO BOX 2175
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2175
Mailing Address - Country:US
Mailing Address - Phone:919-725-1219
Mailing Address - Fax:
Practice Address - Street 1:300 MARTIN LUTHER KING JR AVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3615
Practice Address - Country:US
Practice Address - Phone:919-725-1219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care