Healthcare Provider Details

I. General information

NPI: 1316483241
Provider Name (Legal Business Name): COMPASSION HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 09/10/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 E 16TH ST
CHATTANOOGA TN
37404-4904
US

IV. Provider business mailing address

PO BOX 3569
CHATTANOOGA TN
37404-0569
US

V. Phone/Fax

Practice location:
  • Phone: 423-243-6772
  • Fax:
Mailing address:
  • Phone: 423-243-6772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH KOROMA
Title or Position: ADMIN.
Credential:
Phone: 423-243-6772