Healthcare Provider Details
I. General information
NPI: 1457418097
Provider Name (Legal Business Name): COMPASSION NURSING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2007
Last Update Date: 02/24/2021
Certification Date: 02/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 CIRCLE FREEWAY DR
WEST CHESTER OH
45246-1201
US
IV. Provider business mailing address
33 CIRCLE FREEWAY DR
WEST CHESTER OH
45246-1201
US
V. Phone/Fax
- Phone: 513-805-7419
- Fax: 513-816-7456
- Phone: 513-805-7419
- Fax: 513-816-7456
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 | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | 112152 |
| License Number State | OH |
VIII. Authorized Official
Name:
LINA
T
OJOTARU-OGWAL
Title or Position: CEO
Credential: LPN
Phone: 513-805-7419