MEDICARE: COMPASSIONATE HEARTS HOME 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	:	1750178828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE HEARTS HOME LLC

Provider Business Mailing Address
First Line	:	3601 HENRY AVE
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40215-2714
Country	:	US
Telephone Number	:	502-975-1326
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 HENRY AVE
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40215-2714
Country	:	US
Telephone Number	:	502-975-1326
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALBERTO PEREZ RIVERA
Credential	:	RN
Telephone Number	:	502-975-1326

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	04/22/2025

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Directions to “COMPASSIONATE HEARTS HOME LLC ” Practice Location

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