Provider Demographics
NPI:1720530587
Name:COMPASSIONATE HOMECARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HOMECARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-495-7694
Mailing Address - Street 1:131 A STONY CIRCLE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401
Mailing Address - Country:US
Mailing Address - Phone:707-495-7694
Mailing Address - Fax:
Practice Address - Street 1:131 A STONY CIRCLE
Practice Address - Street 2:SUITE 500
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401
Practice Address - Country:US
Practice Address - Phone:707-495-7694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA494700009253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care