=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144861337
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPASSION HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2019
-----------------------------------------------------
Last Update Date | 04/20/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 649 FIRETOWER RD
-----------------------------------------------------
City | YANCEYVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27379
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-694-7447
-----------------------------------------------------
Fax | 336-694-4857
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1448
-----------------------------------------------------
City | YANCEYVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27379-1448
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-694-1181
-----------------------------------------------------
Fax | 336-694-4209
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | WILLIAM CRUMPTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 336-694-1181
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------