Healthcare Provider Details

I. General information

NPI: 1508084484
Provider Name (Legal Business Name): COMPASSION HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E MANCHESTER BLVD
INGLEWOOD CA
90301-1910
US

IV. Provider business mailing address

650 E MANCHESTER BLVD
INGLEWOOD CA
90301-1910
US

V. Phone/Fax

Practice location:
  • Phone: 310-412-7340
  • Fax: 310-412-7347
Mailing address:
  • Phone: 310-412-7340
  • Fax: 310-412-7347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY JANE STRONG
Title or Position: CEO
Credential:
Phone: 310-412-7340