MEDICARE: COMPASSIONATE CARE HOME HEALTH, 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	251E00000X	Home Health Agency	7485	MA

General Provider Information

NPI Number	:	1609178490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE CARE HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	1000 MASSACHUSETTS AVE
Second Line	:
City	:	NORTH ADAMS
State	:	MA
Zip	:	01247-2228
Country	:	US
Telephone Number	:	413-664-6611
Fax Number	:	413-664-6610

Provider Business Practice Location Address
First Line	:	1000 MASSACHUSETTS AVE
Second Line	:
City	:	NORTH ADAMS
State	:	MA
Zip	:	01247-2228
Country	:	US
Telephone Number	:	413-664-6611
Fax Number	:	413-664-6610

Authorized Official
Title or Position	:	DIRECTOR OF FINANCES
Name	:	STEPHANIE HOWLAND
Credential	:
Telephone Number	:	413-664-6611

Provider Enumeration Date	:	11/30/2010
Last Update Date	:	11/30/2010

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