Healthcare Provider Details

I. General information

NPI: 1568814754
Provider Name (Legal Business Name): COMPASSIONATE CARING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 WATERLOO ST SW
AIKEN SC
29801-3763
US

IV. Provider business mailing address

22 HAYES DR
NORTH AUGUSTA SC
29860-8319
US

V. Phone/Fax

Practice location:
  • Phone: 706-244-3999
  • Fax:
Mailing address:
  • Phone: 706-244-3999
  • 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: MR. JASON PADGETT
Title or Position: VICE PRESIDENT
Credential:
Phone: 803-206-7328