Provider Demographics
NPI:1811520588
Name:COMPASSIONATE HEARTS HOME HEALTH SERVICES
Entity type:Organization
Organization Name:COMPASSIONATE HEARTS HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:314-497-0238
Mailing Address - Street 1:111 CHURCH ST APT 104
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2430
Mailing Address - Country:US
Mailing Address - Phone:314-497-0238
Mailing Address - Fax:
Practice Address - Street 1:14856 VERDUN ESTATES DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-3116
Practice Address - Country:US
Practice Address - Phone:314-497-0238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health