Healthcare Provider Details

I. General information

NPI: 1437067659
Provider Name (Legal Business Name): A COMPASSIONATE CARE ASSISTED LIVING RESIDENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2646 YARMOUTH DR
WELLINGTON FL
33414-7649
US

IV. Provider business mailing address

2646 YARMOUTH DR
WELLINGTON FL
33414-7649
US

V. Phone/Fax

Practice location:
  • Phone: 561-329-7227
  • Fax: 561-766-2210
Mailing address:
  • Phone: 561-329-7227
  • Fax: 561-766-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: VALRIE BINNS
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-329-7227