Provider Demographics
NPI:1184420010
Name:SUPPORTIVE & COMPASSIONATE SERVICES LLC
Entity type:Organization
Organization Name:SUPPORTIVE & COMPASSIONATE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-800-3025
Mailing Address - Street 1:1300 S LONGACRE BLVD
Mailing Address - Street 2:
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3418
Mailing Address - Country:US
Mailing Address - Phone:610-800-3025
Mailing Address - Fax:
Practice Address - Street 1:1300 S LONGACRE BLVD
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-3418
Practice Address - Country:US
Practice Address - Phone:610-800-3025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health