Healthcare Provider Details

I. General information

NPI: 1679490478
Provider Name (Legal Business Name): COMPASSION PALMS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 GOLDEN TREE PL
BRANDON FL
33510-4055
US

IV. Provider business mailing address

510 GOLDEN TREE PL
BRANDON FL
33510-4055
US

V. Phone/Fax

Practice location:
  • Phone: 727-313-6575
  • Fax:
Mailing address:
  • Phone: 813-421-0327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: RONNETTA HENRY
Title or Position: MANAGER
Credential:
Phone: 656-242-3940