Healthcare Provider Details

I. General information

NPI: 1053225490
Provider Name (Legal Business Name): COMPASSION CARE HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 LEONARDTOWN RD STE 204
WALDORF MD
20601-4614
US

IV. Provider business mailing address

3600 LEONARDTOWN RD STE 204
WALDORF MD
20601-4614
US

V. Phone/Fax

Practice location:
  • Phone: 240-661-1180
  • Fax:
Mailing address:
  • Phone: 240-661-1180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. BUKOLA ZUBAIR
Title or Position: CEO
Credential: DNP CRNP-PMH
Phone: 240-604-0025