MEDICARE: CLAUDIA'S COMPASSIONATE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1144159328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAUDIA'S COMPASSIONATE HOME CARE LLC

Provider Business Mailing Address
First Line	:	1001 JENNINGS AVE
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-5211
Country	:	US
Telephone Number	:	269-208-5965
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 JENNINGS AVE
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-5211
Country	:	US
Telephone Number	:	269-208-5965
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. NAKICHA STONE
Credential	:
Telephone Number	:	269-208-5965

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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