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General NPI Number Information
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NPI Number | 1619733722
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 515 PROGRESS ST
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City | WEST BRANCH
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State | MI
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Zip | 48661-9382
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Country | US
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Telephone | 989-345-7801
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Fax | 989-345-7803
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | WEST BRANCH
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State | MI
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Zip | 48661-0487
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Country | US
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Telephone | 989-345-7801
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | EDWARD EZRA FERNS
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Credential |
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Telephone | 989-345-7801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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