Provider Demographics
NPI:1669236006
Name:COMPASSIONATE CAREGIVERS OF MICHIANA
Entity type:Organization
Organization Name:COMPASSIONATE CAREGIVERS OF MICHIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:YODER-BOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-202-7772
Mailing Address - Street 1:309 NEBRASKA DR
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-1433
Mailing Address - Country:US
Mailing Address - Phone:574-240-4010
Mailing Address - Fax:574-240-0040
Practice Address - Street 1:309 NEBRASKA DR
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-1433
Practice Address - Country:US
Practice Address - Phone:574-240-4010
Practice Address - Fax:574-240-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care