Provider Demographics
NPI:1982270435
Name:COMPASSIONATE TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE TRANSPORTATION SERVICES, LLC
Other - Org Name:COMPASSIONATE HOMEMAKERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SALISHA
Authorized Official - Middle Name:CHANTE
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, HHA
Authorized Official - Phone:814-920-4110
Mailing Address - Street 1:2710 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-1763
Mailing Address - Country:US
Mailing Address - Phone:814-920-4110
Mailing Address - Fax:814-217-1394
Practice Address - Street 1:2710 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-1763
Practice Address - Country:US
Practice Address - Phone:814-920-4110
Practice Address - Fax:814-217-1394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASSIONATE HOMEMAKERS,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-03
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1038231860001Medicaid