Healthcare Provider Details

I. General information

NPI: 1235054867
Provider Name (Legal Business Name): COMPASSION360 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12410 MILESTONE CENTER DR
GERMANTOWN MD
20876-7101
US

IV. Provider business mailing address

PO BOX 113
GERMANTOWN MD
20875-0113
US

V. Phone/Fax

Practice location:
  • Phone: 240-720-1476
  • Fax:
Mailing address:
  • Phone: 240-720-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MOSES KIWANUKA
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 240-720-1476