Provider Demographics
NPI:1053766915
Name:COMPASSIONATE HEARTS HOME CARE
Entity type:Organization
Organization Name:COMPASSIONATE HEARTS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:JIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-546-8917
Mailing Address - Street 1:11 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:MILBRIDGE
Mailing Address - State:ME
Mailing Address - Zip Code:04658-3624
Mailing Address - Country:US
Mailing Address - Phone:207-598-0431
Mailing Address - Fax:
Practice Address - Street 1:221 WYMAN RD
Practice Address - Street 2:
Practice Address - City:MILBRIDGE
Practice Address - State:ME
Practice Address - Zip Code:04658-3603
Practice Address - Country:US
Practice Address - Phone:207-546-8917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care