Healthcare Provider Details

I. General information

NPI: 1972438117
Provider Name (Legal Business Name): COMPASSIONATE LIVING & CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 11TH ST
OAKLAND CA
94607-1402
US

IV. Provider business mailing address

110 DE NORMANDIE WAY
MARTINEZ CA
94553-3007
US

V. Phone/Fax

Practice location:
  • Phone: 925-826-9476
  • Fax:
Mailing address:
  • Phone: 925-826-9476
  • Fax: 925-826-9476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES H. MCLENNAN
Title or Position: OWNER/FOUNDER
Credential: MCLENNAN
Phone: 925-826-9476