Healthcare Provider Details

I. General information

NPI: 1598690117
Provider Name (Legal Business Name): COMPASSION HOME SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3768 DEER XING
MEMPHIS TN
38115-5244
US

IV. Provider business mailing address

3768 DEER XING
MEMPHIS TN
38115-5244
US

V. Phone/Fax

Practice location:
  • Phone: 901-724-6861
  • Fax:
Mailing address:
  • Phone: 901-724-6861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. JACQUELINE GIVENS
Title or Position: CEO/OWNER
Credential:
Phone: 708-548-7174