Healthcare Provider Details

I. General information

NPI: 1417881350
Provider Name (Legal Business Name): COMPASSIONATE HEARTS CASE MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WILLIAM AND MOLLIES WALK
MACON GA
31220-8905
US

IV. Provider business mailing address

201 WILLIAM AND MOLLIES WALK
MACON GA
31220-8905
US

V. Phone/Fax

Practice location:
  • Phone: 478-320-2249
  • Fax: 478-300-9828
Mailing address:
  • Phone: 478-320-2249
  • Fax: 478-300-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: LAKIA RHALONTYA BRASWELL
Title or Position: ADMINISTRATION
Credential: MS, BSW
Phone: 478-320-2249