Provider Demographics
NPI:1801638887
Name:SISTA'S COMPASSIONATE CARE SERVICES LLC
Entity type:Organization
Organization Name:SISTA'S COMPASSIONATE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASTIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-298-5126
Mailing Address - Street 1:2938 ASHLY BROOKE CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-4533
Mailing Address - Country:US
Mailing Address - Phone:770-298-5126
Mailing Address - Fax:
Practice Address - Street 1:2938 ASHLY BROOKE CT
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-4533
Practice Address - Country:US
Practice Address - Phone:770-298-5126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care