Healthcare Provider Details

I. General information

NPI: 1487567277
Provider Name (Legal Business Name): COMPASSIONATE HOME MAKER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1271 SNOWBIRD AVE NW
PALM BAY FL
32907-8094
US

IV. Provider business mailing address

1271 SNOWBIRD AVE NW
PALM BAY FL
32907-8094
US

V. Phone/Fax

Practice location:
  • Phone: 321-272-5617
  • Fax: 321-216-3148
Mailing address:
  • Phone: 321-272-5617
  • Fax: 321-216-3148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: BALANTE MEVOICY
Title or Position: MANAGER
Credential:
Phone: 321-272-5617