MEDICARE: COMPASSIONATE VISITING PROVIDERS INC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1457140592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE VISITING PROVIDERS INC

Provider Business Mailing Address
First Line	:	12808 W AIRPORT BLVD STE 325B
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-6227
Country	:	US
Telephone Number	:	346-777-3201
Fax Number	:	832-747-7063

Provider Business Practice Location Address
First Line	:	12808 W AIRPORT BLVD STE 325B
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-6227
Country	:	US
Telephone Number	:	832-488-2519
Fax Number	:	832-747-7063

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	CHYMBEELYN BALADJAY LARISMA
Credential	:	M.D.
Telephone Number	:	346-777-3201

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	01/20/2026

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