Healthcare Provider Details

I. General information

NPI: 1942005871
Provider Name (Legal Business Name): COMPASSIONATE CARE AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 THIMBLE SHOALS BLVD STE A OFFICE 3
NEWPORT NEWS VA
23606-4545
US

IV. Provider business mailing address

716 THIMBLE SHOALS BLVD STE A
NEWPORT NEWS VA
23606-4545
US

V. Phone/Fax

Practice location:
  • Phone: 757-327-1422
  • Fax:
Mailing address:
  • Phone: 757-327-1422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ANGELIQUE CHIVON EPPS
Title or Position: CEO
Credential: LPC
Phone: 757-327-1422