Healthcare Provider Details

I. General information

NPI: 1124950605
Provider Name (Legal Business Name): CB COMPASSION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

9810 CARLSDALE DR
RIVERVIEW FL
33578-3814
US

IV. Provider business mailing address

6421 N FLORIDA AVE # D-516
TAMPA FL
33604-6007
US

V. Phone/Fax

Practice location:
  • Phone: 656-264-4344
  • Fax:
Mailing address:
  • Phone: 656-264-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KALIA CASON
Title or Position: MANAGING MEMBER
Credential:
Phone: 656-247-9055