=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881165504
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPASSIONATE CONNECTIONS HOME CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2018
-----------------------------------------------------
Last Update Date | 10/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3103 EUDORA RD
-----------------------------------------------------
City | EUSTIS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32726-7921
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-800-6187
-----------------------------------------------------
Fax | 407-550-8031
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3103 EUDORA RD
-----------------------------------------------------
City | EUSTIS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32726-7921
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-800-6187
-----------------------------------------------------
Fax | 407-550-8031
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. TASIA LAVONNE DRAYTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 352-800-6187
-----------------------------------------------------
=====================================================
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 | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------