Provider Demographics
NPI:1053177519
Name:COMPASSIONATE CARE HOME CARE SERVICE INC
Entity type:Organization
Organization Name:COMPASSIONATE CARE HOME CARE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TEBERAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-313-2273
Mailing Address - Street 1:21100 OSMUS ST STE E
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5206
Mailing Address - Country:US
Mailing Address - Phone:248-313-2273
Mailing Address - Fax:248-313-2274
Practice Address - Street 1:21100 OSMUS ST STE E
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-5206
Practice Address - Country:US
Practice Address - Phone:248-313-2273
Practice Address - Fax:248-313-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health