MEDICARE: COMPASSION KEEPERS HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1427755875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION KEEPERS HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5660 SOUTHWYCK BLVD STE 220C
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5660 SOUTHWYCK BLVD STE 220C
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1566
Country	:	US
Telephone Number	:	419-810-0550
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIARAH WOODARD
Credential	:
Telephone Number	:	419-810-0550

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	02/15/2023

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