Provider Demographics
NPI:1356041255
Name:KOMPASSIONATE CARE SERVICES LLC
Entity type:Organization
Organization Name:KOMPASSIONATE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABIODUN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BABALOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-798-4950
Mailing Address - Street 1:6919 E 10TH ST STE D5
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4811
Mailing Address - Country:US
Mailing Address - Phone:317-798-4950
Mailing Address - Fax:
Practice Address - Street 1:6919 E 10TH ST STE D5
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-4811
Practice Address - Country:US
Practice Address - Phone:317-798-4950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care