Provider Demographics
NPI:1013270131
Name:HANDS OF COMPASSION HOME CARE II, INC.
Entity Type:Organization
Organization Name:HANDS OF COMPASSION HOME CARE II, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JANETTA
Authorized Official - Middle Name:E
Authorized Official - Last Name:OLASENI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:432-218-7996
Mailing Address - Street 1:1030 ANDREWS HWY
Mailing Address - Street 2:STE. 203
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-3872
Mailing Address - Country:US
Mailing Address - Phone:432-218-7996
Mailing Address - Fax:432-699-4102
Practice Address - Street 1:4090 S DANVILLE DR
Practice Address - Street 2:STE. A
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6973
Practice Address - Country:US
Practice Address - Phone:325-691-1093
Practice Address - Fax:325-691-6268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747859OtherPTAN