Healthcare Provider Details

I. General information

NPI: 1356181911
Provider Name (Legal Business Name): COMPASSION BEST CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 RUSSELL AVE STE D
GAITHERSBURG MD
20879-3287
US

IV. Provider business mailing address

963 RUSSELL AVE STE D
GAITHERSBURG MD
20879-3287
US

V. Phone/Fax

Practice location:
  • Phone: 240-413-1428
  • Fax: 240-386-1197
Mailing address:
  • Phone: 240-413-1428
  • Fax: 240-386-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224ZR0403X
TaxonomyDriving and Community Mobility Occupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CLIFFORD KIBANG
Title or Position: OWNER
Credential:
Phone: 240-413-1428