MEDICARE: COMPASSIONWAY SUPPORT SERVICES 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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1720916232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONWAY SUPPORT SERVICES LLC

Provider Business Mailing Address
First Line	:	23781 US HIGHWAY 27
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33859-7802
Country	:	US
Telephone Number	:	863-360-0119
Fax Number	:

Provider Business Practice Location Address
First Line	:	4347 MANDOLIN BLVD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-3527
Country	:	US
Telephone Number	:	863-360-0119
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NADIA MARION SEYMOUR
Credential	:
Telephone Number	:	863-256-4075

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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