Provider Demographics
NPI:1770951493
Name:COMPASSIONATE HOME HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:COMPASSIONATE HOME HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:301-325-3721
Mailing Address - Street 1:1637 JANKE RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-3419
Mailing Address - Country:US
Mailing Address - Phone:757-961-8816
Mailing Address - Fax:757-961-8816
Practice Address - Street 1:1637 JANKE RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-3419
Practice Address - Country:US
Practice Address - Phone:757-961-8816
Practice Address - Fax:757-961-8816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA150725-0000-8050253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care