Provider Demographics
NPI:1700542305
Name:COMPASSIONATE CARE NURSING
Entity Type:Organization
Organization Name:COMPASSIONATE CARE NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-771-6355
Mailing Address - Street 1:21 OLLIE LN
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-5847
Mailing Address - Country:US
Mailing Address - Phone:814-771-6355
Mailing Address - Fax:
Practice Address - Street 1:21 OLLIE LN
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-5847
Practice Address - Country:US
Practice Address - Phone:814-771-6355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25555178OtherSTAFFING AGENCY AND GET PAID BY DIRECT HOME