Healthcare Provider Details

I. General information

NPI: 1780491761
Provider Name (Legal Business Name): COMPASSIONATE HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 BLUE RIDGE BLVD STE 611D
KANSAS CITY MO
64133-1723
US

IV. Provider business mailing address

4240 BLUE RIDGE BLVD STE 611D
KANSAS CITY MO
64133-1723
US

V. Phone/Fax

Practice location:
  • Phone: 952-261-2324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KHADIJA JEYLANI
Title or Position: RN
Credential:
Phone: 952-261-2324