Healthcare Provider Details

I. General information

NPI: 1699644898
Provider Name (Legal Business Name): COMPASSIONATE COMPANIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 SW 75TH ST APT 414
GAINESVILLE FL
32608-8339
US

IV. Provider business mailing address

2625 SW 75TH ST APT 414
GAINESVILLE FL
32608-8339
US

V. Phone/Fax

Practice location:
  • Phone: 352-246-4760
  • Fax:
Mailing address:
  • Phone: 352-246-4760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MELINDA D NIXON
Title or Position: OWNER
Credential:
Phone: 352-246-4760