MEDICARE: CARING & COMPASSIONATE HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	302F00000X	Exclusive Provider Organization
3	343900000X	Non-emergency Medical Transport (VAN)
4	347C00000X	Private Vehicle
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346838604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING & COMPASSIONATE HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	5142 RYAN RD UNIT 5
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2067
Country	:	US
Telephone Number	:	419-407-5779
Fax Number	:

Provider Business Practice Location Address
First Line	:	5142 RYAN RD UNIT 5
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2067
Country	:	US
Telephone Number	:	419-407-5779
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRITTANY PENDLETON
Credential	:
Telephone Number	:	419-324-6584

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	01/04/2021

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