Provider Demographics
NPI:1053161117
Name:COMPASSIONATE IN HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:COMPASSIONATE IN HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-802-5846
Mailing Address - Street 1:8688 E RAINTREE DR APT 4060
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-0026
Mailing Address - Country:US
Mailing Address - Phone:402-802-5846
Mailing Address - Fax:402-922-7327
Practice Address - Street 1:8688 E RAINTREE DR APT 4060
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-0026
Practice Address - Country:US
Practice Address - Phone:402-802-5846
Practice Address - Fax:402-922-7327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty