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NPI Code Detail

MEDICARE: COMPASSION FIRST HOME CARE LLC

MEDICARE: COMPASSION FIRST HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1093566135
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSION FIRST HOME CARE LLC
Provider Business Mailing Address
First Line : 15831 YORKTOWN CROSSING PKWY UNIT 1129
Second Line :
City : HOUSTON
State : TX
Zip : 77084-1312
Country : US
Telephone Number : 337-466-0075
Fax Number :
Provider Business Practice Location Address
First Line : 15831 YORKTOWN CROSSING PKWY UNIT 1129
Second Line :
City : HOUSTON
State : TX
Zip : 77084-1312
Country : US
Telephone Number : 337-466-0075
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : NICKOLE T GUILLORY
Credential :
Telephone Number : 337-466-0075
Provider Enumeration Date : 03/28/2024
Last Update Date : 03/28/2024

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Directions to “COMPASSION FIRST HOME CARE LLC ” Practice Location

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