MEDICARE: COMPASSIONATE CARRIERS 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1437002359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE CARRIERS LLC

Provider Business Mailing Address
First Line	:	4829 E 86TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2020
Country	:	US
Telephone Number	:	216-530-6255
Fax Number	:

Provider Business Practice Location Address
First Line	:	4829 E 86TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2020
Country	:	US
Telephone Number	:	216-530-6255
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EBONY C ERVIN
Credential	:
Telephone Number	:	216-338-4181

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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