Provider Demographics
NPI:1174781405
Name:COMPASSIONATE CARE
Entity type:Organization
Organization Name:COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MAXINE
Authorized Official - Last Name:JONES-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-425-6777
Mailing Address - Street 1:2767 GEORGE OWEN RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-2605
Mailing Address - Country:US
Mailing Address - Phone:910-425-6777
Mailing Address - Fax:910-425-2638
Practice Address - Street 1:3788 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1959
Practice Address - Country:US
Practice Address - Phone:910-425-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2485251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health