Healthcare Provider Details

I. General information

NPI: 1285545731
Provider Name (Legal Business Name): COMPASSION FIRST HEALTHCARE FL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21025 NE 19TH CT
MIAMI FL
33179-1511
US

IV. Provider business mailing address

21025 NE 19TH CT
MIAMI FL
33179-1511
US

V. Phone/Fax

Practice location:
  • Phone: 202-830-4088
  • Fax:
Mailing address:
  • Phone: 202-830-4088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE THOMAS
Title or Position: DIRECTOR
Credential:
Phone: 202-630-4088