MEDICARE: COMPASSIONATE CARE PROVIDERS (CCP) INCORPORATED

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1699632109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE CARE PROVIDERS (CCP) INCORPORATED

Provider Business Mailing Address
First Line	:	211 E MOORE AVE STE B-1
Second Line	:
City	:	TERRELL
State	:	TX
Zip	:	75160-3207
Country	:	US
Telephone Number	:	225-588-5650
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E MOORE AVE STE B-1
Second Line	:
City	:	TERRELL
State	:	TX
Zip	:	75160-3207
Country	:	US
Telephone Number	:	225-588-5650
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ANGEL LYNN RAPHAEL
Credential	:	BSN
Telephone Number	:	225-588-5650

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/27/2026

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Directions to “COMPASSIONATE CARE PROVIDERS (CCP) INCORPORATED ” Practice Location

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