Healthcare Provider Details

I. General information

NPI: 1215373436
Provider Name (Legal Business Name): COMPASSIONATE HOUSE VISITS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 06/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S MAIN ST
SCOTTVILLE MI
49454-1220
US

IV. Provider business mailing address

113 S MAIN ST
SCOTTVILLE MI
49454-1220
US

V. Phone/Fax

Practice location:
  • Phone: 248-332-1236
  • Fax:
Mailing address:
  • Phone: 248-332-1236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101005031
License Number StateMI

VIII. Authorized Official

Name: ROBERT GERMAN PARIS
Title or Position: OWNER
Credential: DO
Phone: 248-332-1236