MEDICARE: COMPASSIONATE CARE & STAFFING 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1548139132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE CARE & STAFFING LLC

Provider Business Mailing Address
First Line	:	16977 NE HALSEY ST APT 212
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97230-6188
Country	:	US
Telephone Number	:	978-677-1568
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 NW FLANDERS ST STE 353
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-2645
Country	:	US
Telephone Number	:	978-677-1568
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHEN N MUNYAKA
Credential	:
Telephone Number	:	978-677-1568

Provider Enumeration Date	:	11/01/2025
Last Update Date	:	11/01/2025

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