Provider Demographics
NPI:1750761177
Name:COMPASSIONATE CARE
Entity type:Organization
Organization Name:COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-525-1573
Mailing Address - Street 1:1344 UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2522
Mailing Address - Country:US
Mailing Address - Phone:509-525-1573
Mailing Address - Fax:506-529-5295
Practice Address - Street 1:1344 UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2522
Practice Address - Country:US
Practice Address - Phone:509-525-1573
Practice Address - Fax:506-529-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60557286253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care