Healthcare Provider Details

I. General information

NPI: 1710036835
Provider Name (Legal Business Name): PROJECT COMPASSION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 REYNOLD SWEET PKWY
SOUTH LYON MI
48178-1816
US

IV. Provider business mailing address

10503 CITATION DR SUITE 100
BRIGHTON MI
48116-6549
US

V. Phone/Fax

Practice location:
  • Phone: 248-437-2048
  • Fax: 248-437-0837
Mailing address:
  • Phone: 810-534-0150
  • Fax: 810-534-0208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number634270
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number634270
License Number StateMI

VIII. Authorized Official

Name: RICHARD ANTHONY SCHERRER
Title or Position: AUTHORIZED AGENT
Credential:
Phone: 810-534-0150