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General NPI Number Information
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NPI Number | 1598202004
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Entity Type | Organization
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Legal Business Name | COMPASSION HOME CARE LLC
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Dates
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Enumeration Date | 01/22/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 141 S BLACK HORSE PIKE BLDG 1 SUITE 1B
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City | BLACKWOOD
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State | NJ
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Zip | 08012-2975
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Country | US
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Telephone | 856-666-4929
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Fax |
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Provider Business Mailing Address
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Address Line | 141 S BLACK HORSE PIKE BLDG 1 SUITE 1B
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City | BLACKWOOD
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State | NJ
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Zip | 08012-2975
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Country | US
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Telephone | 856-666-4929
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Fax | 888-218-8285
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIENNE DAUTRUCHE
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Credential |
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Telephone | 856-625-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NJ
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