Provider Demographics
NPI:1336752922
Name:COMPASSIONATE HOMECARE SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMINATA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:571-361-1653
Mailing Address - Street 1:2459 EASTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4072
Mailing Address - Country:US
Mailing Address - Phone:571-361-1653
Mailing Address - Fax:
Practice Address - Street 1:8711 PLANTATION LN STE 301
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8322
Practice Address - Country:US
Practice Address - Phone:703-651-0027
Practice Address - Fax:703-651-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health