Provider Demographics
NPI:1205574563
Name:COMPASSIONATE CARE SANCTUARY LLC
Entity type:Organization
Organization Name:COMPASSIONATE CARE SANCTUARY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARION
Authorized Official - Middle Name:C
Authorized Official - Last Name:ENGLISH-ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:347-526-0863
Mailing Address - Street 1:4104 FOXTAIL CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3305
Mailing Address - Country:US
Mailing Address - Phone:347-526-0863
Mailing Address - Fax:
Practice Address - Street 1:4104 FOXTAIL CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-3305
Practice Address - Country:US
Practice Address - Phone:347-526-0863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARION ENGLISH-ROWE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility