MEDICARE: COMPASSION RESIDENCE 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
1	261Q00000X	Clinic/Center
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1588419964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION RESIDENCE LLC

Provider Business Mailing Address
First Line	:	25502 PAR POINT CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-2124
Country	:	US
Telephone Number	:	713-838-2606
Fax Number	:

Provider Business Practice Location Address
First Line	:	25502 PAR POINT CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-2124
Country	:	US
Telephone Number	:	713-838-2606
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	DR. HADI GHASEMI
Credential	:
Telephone Number	:	713-838-2606

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	01/28/2026

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Directions to “COMPASSION RESIDENCE LLC ” Practice Location

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