Healthcare Provider Details
I. General information
NPI: 1588419964
Provider Name (Legal Business Name): COMPASSION RESIDENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2024
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25502 PAR POINT CT
SPRING TX
77389-2124
US
IV. Provider business mailing address
25502 PAR POINT CT
SPRING TX
77389-2124
US
V. Phone/Fax
- Phone: 713-838-2606
- Fax:
- Phone: 713-838-2606
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HADI
GHASEMI
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 713-838-2606