=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528914652
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPASSIONATE IN HOMECARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2026
-----------------------------------------------------
Last Update Date | 03/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1086 3RD ST
-----------------------------------------------------
City | OCHLOCKNEE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31773-3337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-289-2750
-----------------------------------------------------
Fax | 888-665-6733
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1086 3RD ST
-----------------------------------------------------
City | OCHLOCKNEE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31773-3337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-289-2750
-----------------------------------------------------
Fax | 888-665-6733
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DEVAN JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 229-289-2750
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------