Provider Demographics
NPI:1457845653
Name:COMPASSIONATE HEALTH CARE GROUP LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HEALTH CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:FLETCHER DEPREE
Authorized Official - Suffix:
Authorized Official - Credentials:ADULT GERO NP
Authorized Official - Phone:774-255-0097
Mailing Address - Street 1:361 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2153
Mailing Address - Country:US
Mailing Address - Phone:774-678-7319
Mailing Address - Fax:508-291-9907
Practice Address - Street 1:361 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571
Practice Address - Country:US
Practice Address - Phone:774-678-7319
Practice Address - Fax:508-291-9907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty