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NPI Code Detail

MEDICARE: COMPASSIONATE CARE LLC

MEDICARE: COMPASSIONATE CARE 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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1639981558
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE CARE LLC
Provider Business Mailing Address
First Line : 1959 ELDERLEAF DR # TX
Second Line :
City : DALLAS
State : TX
Zip : 75232-3305
Country : US
Telephone Number : 469-258-9214
Fax Number :
Provider Business Practice Location Address
First Line : 1959 ELDERLEAF DR # TX
Second Line :
City : DALLAS
State : TX
Zip : 75232-3305
Country : US
Telephone Number : 469-258-9214
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GEORGE ANDERSON III
Credential :
Telephone Number : 469-258-9214
Provider Enumeration Date : 01/27/2025
Last Update Date : 01/13/2026

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Directions to “COMPASSIONATE CARE LLC ” Practice Location

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