Healthcare Provider Details

I. General information

NPI: 1487463709
Provider Name (Legal Business Name): COMPASSIONATE IN HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2025
Last Update Date: 01/01/2025
Certification Date: 01/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 S 21ST ST
LINCOLN NE
68512-9479
US

IV. Provider business mailing address

PO BOX 22301
LINCOLN NE
68542-2301
US

V. Phone/Fax

Practice location:
  • Phone: 402-413-1684
  • Fax:
Mailing address:
  • Phone: 402-413-1684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ASIA ALI
Title or Position: OWNER
Credential:
Phone: 402-802-5846