MEDICARE: COMPASSIONATE CAREGIVING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251E00000X	Home Health Agency
3	251G00000X	Community Based Hospice Care Agency
4	343900000X	Non-emergency Medical Transport (VAN)
5	385H00000X	Respite Care
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578377719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE CAREGIVING LLC

Provider Business Mailing Address
First Line	:	1515 W LAFAYETTE BLVD STE 202
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48216-1926
Country	:	US
Telephone Number	:	800-962-0686
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 W LAFAYETTE BLVD STE 202
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48216-1926
Country	:	US
Telephone Number	:	800-962-0686
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AIMEE WILLIAMS
Credential	:
Telephone Number	:	313-454-9564

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	02/06/2025

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Directions to “COMPASSIONATE CAREGIVING LLC ” Practice Location

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