Healthcare Provider Details

I. General information

NPI: 1780462283
Provider Name (Legal Business Name): COMPASSIONATE CHOICE HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 MARY ST
ARLINGTON TX
76010-2716
US

IV. Provider business mailing address

1006 MARY ST
ARLINGTON TX
76010-2716
US

V. Phone/Fax

Practice location:
  • Phone: 682-318-3628
  • Fax: 682-318-3642
Mailing address:
  • Phone: 682-318-3628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SARAH MENSAH-TAYLOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 817-896-8222