MEDICARE: COMPASSIONATE HOME CARE SERVICES, INC.

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	251E00000X	Home Health Agency
3	251J00000X	Nursing Care Agency
4	253Z00000X	In Home Supportive Care Agency

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	:	1437610417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	18 S 9TH ST STE 104
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-1630
Country	:	US
Telephone Number	:	570-243-9753
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 S 9TH ST STE 104
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-1630
Country	:	US
Telephone Number	:	570-243-9753
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KENDRIA DONALLE JAMES
Credential	:
Telephone Number	:	570-243-9753

Provider Enumeration Date	:	03/31/2019
Last Update Date	:	10/04/2023

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