Healthcare Provider Details

I. General information

NPI: 1841122744
Provider Name (Legal Business Name): COMPASSION HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3848 SUN CITY CENTER BLVD STE 104-1097
RUSKIN FL
33573-6068
US

IV. Provider business mailing address

14710 SCOTTBURGH GLEN DR
WIMAUMA FL
33598-6206
US

V. Phone/Fax

Practice location:
  • Phone: 813-212-7255
  • Fax: 813-540-7271
Mailing address:
  • Phone: 813-459-7051
  • Fax: 813-459-7051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MAGGIE J WASHINGTON
Title or Position: OWNER
Credential: LPN
Phone: 813-459-7051