Healthcare Provider Details

I. General information

NPI: 1467856476
Provider Name (Legal Business Name): COMPASSION HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2014
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 E PATRICK LN STE 220
LAS VEGAS NV
89120-3927
US

IV. Provider business mailing address

3920 E PATRICK LN STE 220
LAS VEGAS NV
89120-3927
US

V. Phone/Fax

Practice location:
  • Phone: 725-666-9698
  • Fax:
Mailing address:
  • Phone: 702-331-1744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CLEGG
Title or Position: CEO
Credential:
Phone: 702-331-1744