Healthcare Provider Details

I. General information

NPI: 1902720246
Provider Name (Legal Business Name): COMPASSION LIFE CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

58 W 17TH ST APT 2
HIALEAH FL
33010-3042
US

IV. Provider business mailing address

58 W 17TH ST APT 2
HIALEAH FL
33010-3042
US

V. Phone/Fax

Practice location:
  • Phone: 754-276-6143
  • Fax:
Mailing address:
  • Phone: 754-276-6143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: YAMILKA BATISTA DIAZ
Title or Position: OWNER
Credential:
Phone: 754-276-6143