Healthcare Provider Details

I. General information

NPI: 1790305225
Provider Name (Legal Business Name): COMPASSIONATE HEARTS HOME CARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 05/31/2021
Certification Date: 05/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3224 CLEARBROOK ST
MEMPHIS TN
38118-4450
US

IV. Provider business mailing address

3224 CLEARBROOK ST
MEMPHIS TN
38118-4450
US

V. Phone/Fax

Practice location:
  • Phone: 901-296-0850
  • Fax:
Mailing address:
  • Phone: 901-296-0850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ZHUNDRETTA CURRIE
Title or Position: OWNER
Credential:
Phone: 901-830-7474