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General NPI Number Information
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NPI Number | 1922917301
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HEARTS, LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 925 MAIN ST STE 208
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3097
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Country | US
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Telephone | 678-491-0509
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Fax | 888-286-5722
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Provider Business Mailing Address
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Address Line | 3774 CHATEAUGUAY DR
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City | DECATUR
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State | GA
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Zip | 30034-2107
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Country | US
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Telephone | 678-491-0509
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Fax | 888-286-5722
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Authorized Official
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Title or Position | OWNER
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Name | EDITH HOLLEY
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Credential |
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Telephone | 678-491-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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