Healthcare Provider Details

I. General information

NPI: 1699695841
Provider Name (Legal Business Name): COMPASSIONATE CARE FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 JONES ST
ST AUGUSTINE FL
32084-4040
US

IV. Provider business mailing address

1775 US HIGHWAY 1 S PMB #1045
ST AUGUSTINE FL
32084-4238
US

V. Phone/Fax

Practice location:
  • Phone: 904-689-1381
  • Fax:
Mailing address:
  • Phone: 904-689-1381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: DENICE LAVON WARREN-BERRYHILL
Title or Position: VICE PRESIDENT
Credential: CNA,HHA,PCT
Phone: 904-295-9968