Provider Demographics
NPI:1396568937
Name:COMPASSIONATE CARETAKERS, LLC
Entity type:Organization
Organization Name:COMPASSIONATE CARETAKERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-RABBAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-545-9575
Mailing Address - Street 1:32285 GLEN CV APT 8
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3662
Mailing Address - Country:US
Mailing Address - Phone:734-545-9575
Mailing Address - Fax:
Practice Address - Street 1:32285 GLEN CV APT 8
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3662
Practice Address - Country:US
Practice Address - Phone:734-545-9575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities