Provider Demographics
NPI:1750875738
Name:COMPASSIONATE HEARTS HOME HEALTH, INC.
Entity type:Organization
Organization Name:COMPASSIONATE HEARTS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FOLKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-276-6696
Mailing Address - Street 1:237 W BONITA AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3048
Mailing Address - Country:US
Mailing Address - Phone:909-506-4317
Mailing Address - Fax:909-592-8877
Practice Address - Street 1:237 W BONITA AVE STE F
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773
Practice Address - Country:US
Practice Address - Phone:909-592-5777
Practice Address - Fax:909-592-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health