Healthcare Provider Details
I. General information
NPI: 1881209997
Provider Name (Legal Business Name): COMPASSION ASSISTANCE NURSING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2020
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2347 HIDDENMEADOWS DR
CINCINNATI OH
45231-1400
US
IV. Provider business mailing address
2347 HIDDENMEADOWS DR
CINCINNATI OH
45231-1400
US
V. Phone/Fax
- Phone: 513-578-1552
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ALONA
KING
Title or Position: OWNER
Credential:
Phone: 513-578-1552