NPI Code Details Logo

NPI 1578377719

NPI 1578377719 : COMPASSIONATE CAREGIVING LLC : DETROIT, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578377719
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COMPASSIONATE CAREGIVING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/06/2025
-----------------------------------------------------
    Last Update Date     |    02/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1515 W LAFAYETTE BLVD STE 202 
-----------------------------------------------------
    City                 |    DETROIT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48216-1926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-962-0686
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1515 W LAFAYETTE BLVD STE 202 
-----------------------------------------------------
    City                 |    DETROIT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48216-1926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-962-0686
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADMINISTRATOR
-----------------------------------------------------
    Name                 |     AIMEE  WILLIAMS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    313-454-9564
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    174200000X
-----------------------------------------------------
    Taxonomy Name        |    Meals Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.