Healthcare Provider Details

I. General information

NPI: 1033355672
Provider Name (Legal Business Name): COMPASSIONATE CARING HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2009
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3107 W HALLANDALE BEACH BLVD STE 101
HALLANDALE BEACH FL
33009-5137
US

IV. Provider business mailing address

3107 W HALLANDALE BEACH BLVD STE 101
HALLANDALE BEACH FL
33009-5137
US

V. Phone/Fax

Practice location:
  • Phone: 954-358-2170
  • Fax: 954-358-2172
Mailing address:
  • Phone: 954-358-2170
  • Fax: 954-358-2172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299993365
License Number StateFL

VIII. Authorized Official

Name: MRS. MARIE Y. FONTUS
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 954-358-2170