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NPI Code Detail

MEDICARE: COMPASSIONATE CARING HOME CARE D9 INC

MEDICARE: COMPASSIONATE CARING HOME CARE D9 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
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1710750526
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE CARING HOME CARE D9 INC
Provider Business Mailing Address
First Line : 3107 W HALLANDALE BEACH BLVD STE 102
Second Line :
City : HALLANDALE
State : FL
Zip : 33009-5144
Country : US
Telephone Number : 954-358-2170
Fax Number : 954-358-2172
Provider Business Practice Location Address
First Line : 3107 W HALLANDALE BEACH BLVD STE 102
Second Line :
City : HALLANDALE
State : FL
Zip : 33009-5144
Country : US
Telephone Number : 954-358-2170
Fax Number : 954-358-2172
Authorized Official
Title or Position : OWNER
Name : STEPHEN LUSTUMBO
Credential :
Telephone Number : 561-900-3334
Provider Enumeration Date : 11/02/2023
Last Update Date : 02/12/2025

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Directions to “COMPASSIONATE CARING HOME CARE D9 INC ” Practice Location

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