Healthcare Provider Details
I. General information
NPI: 1487260535
Provider Name (Legal Business Name): COMPASSIONATE HELP AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2020
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2565 N TOLEDO BLADE BLVD UNIT 1
NORTH PORT FL
34289-9306
US
IV. Provider business mailing address
11141 COUNTY LINE RD UNIT 105
SPRING HILL FL
34609-5620
US
V. Phone/Fax
- Phone: 941-263-3933
- Fax:
- Phone: 352-585-4535
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
POWELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 352-585-4535