Healthcare Provider Details

I. General information

NPI: 1023286598
Provider Name (Legal Business Name): COMPASSIONATE HEALTH CARE INC. A HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 BUCK RD
HUNTINGDON VALLEY PA
19006-1535
US

IV. Provider business mailing address

PO BOX 1401
BENSALEM PA
19020-5401
US

V. Phone/Fax

Practice location:
  • Phone: 215-490-6810
  • Fax: 267-988-8981
Mailing address:
  • Phone: 215-500-6121
  • Fax: 445-300-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CECELIA IRENE BLACKSTON
Title or Position: OWNER
Credential: MBA
Phone: 215-490-6810