Provider Demographics
NPI: | 1255044137 |
---|---|
Name: | COMPASSIONATE HANDS HOME CARE LLC |
Entity type: | Organization |
Organization Name: | COMPASSIONATE HANDS HOME CARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF OPERATIONS/CEO |
Authorized Official - Prefix: | MISS |
Authorized Official - First Name: | YULONDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BLATHERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 623-216-0247 |
Mailing Address - Street 1: | 445 CRITTENDEN AVE LOWR |
Mailing Address - Street 2: | |
Mailing Address - City: | TOLEDO |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43609-2897 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 623-216-0247 |
Mailing Address - Fax: | 419-406-4569 |
Practice Address - Street 1: | 445 CRITTENDEN AVE LOWR |
Practice Address - Street 2: | |
Practice Address - City: | TOLEDO |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43609-2897 |
Practice Address - Country: | US |
Practice Address - Phone: | 623-216-0247 |
Practice Address - Fax: | 419-406-4569 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-01-05 |
Last Update Date: | 2023-12-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |