Provider Demographics
NPI:1013882455
Name:COMPASSIONATE CARE TREATMENTS
Entity type:Organization
Organization Name:COMPASSIONATE CARE TREATMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:317-448-3532
Mailing Address - Street 1:10805 W ADAM AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85373-8725
Mailing Address - Country:US
Mailing Address - Phone:317-448-3532
Mailing Address - Fax:765-374-0949
Practice Address - Street 1:10805 W ADAM AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85373-8725
Practice Address - Country:US
Practice Address - Phone:317-448-3532
Practice Address - Fax:765-374-0949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care