MEDICARE: COMPASSION IN ABUNDANCE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619667821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION IN ABUNDANCE LLC

Provider Business Mailing Address
First Line	:	15897 SPRINGS VILLAGE BLVD
Second Line	:
City	:	TAYLOR
State	:	MI
Zip	:	48180-4914
Country	:	US
Telephone Number	:	734-921-3910
Fax Number	:

Provider Business Practice Location Address
First Line	:	15897 SPRINGS VILLAGE BLVD
Second Line	:
City	:	TAYLOR
State	:	MI
Zip	:	48180-4914
Country	:	US
Telephone Number	:	734-921-3910
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATION MANAGER
Name	:	MS. AMBER KIRTZ
Credential	:
Telephone Number	:	734-258-5468

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	05/10/2023

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