=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952267130
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPASSIONATE CAREGIVERS OF NORTH CAROLINA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2025
-----------------------------------------------------
Last Update Date | 12/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 130 WHITENER RD
-----------------------------------------------------
City | PENROSE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28766-9751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-556-3981
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 130 WHITENER RD
-----------------------------------------------------
City | PENROSE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28766-9751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-556-3981
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OWNER
-----------------------------------------------------
Name | GLENDA FISHER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 828-556-3981
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------