Healthcare Provider Details

I. General information

NPI: 1922917301
Provider Name (Legal Business Name): COMPASSIONATE HEARTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

925 MAIN ST STE 208
STONE MOUNTAIN GA
30083-3097
US

IV. Provider business mailing address

3774 CHATEAUGUAY DR
DECATUR GA
30034-2107
US

V. Phone/Fax

Practice location:
  • Phone: 678-491-0509
  • Fax: 888-286-5722
Mailing address:
  • Phone: 678-491-0509
  • Fax: 888-286-5722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EDITH HOLLEY
Title or Position: OWNER
Credential:
Phone: 678-491-0509