Healthcare Provider Details
I. General information
NPI: 1558290940
Provider Name (Legal Business Name): COMPASSIONATE CARE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9844 OVERBROOK RD
LEAWOOD KS
66206-2355
US
IV. Provider business mailing address
3965 W 83RD ST
PRAIRIE VILLAGE KS
66208-5308
US
V. Phone/Fax
- Phone: 316-303-5467
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376G00000X |
| Taxonomy | Nursing Home Administrator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DENISE
WILLSEY
Title or Position: OPERATOR
Credential:
Phone: 316-303-5467