MEDICARE: COMPASSIONATE HEARTS CASE MANAGEMENT, 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1417881350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE HEARTS CASE MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	201 WILLIAM AND MOLLIES WALK
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31220-8905
Country	:	US
Telephone Number	:	478-320-2249
Fax Number	:	478-300-9828

Provider Business Practice Location Address
First Line	:	201 WILLIAM AND MOLLIES WALK
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31220-8905
Country	:	US
Telephone Number	:	478-320-2249
Fax Number	:	478-300-9828

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	LAKIA RHALONTYA BRASWELL
Credential	:	MS, BSW
Telephone Number	:	478-320-2249

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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