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NPI Code Detail

MEDICARE: COMPASSIONATE HEALTH SERVICES LLC

MEDICARE: COMPASSIONATE HEALTH SERVICES 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861000499
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 6720 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-7762
Country : US
Telephone Number : 317-460-8801
Fax Number : 574-975-4155
Provider Business Practice Location Address
First Line : 6720 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-7762
Country : US
Telephone Number : 317-460-8801
Fax Number : 574-975-4155
Authorized Official
Title or Position : ADMINISTRATOR
Name : MAYOKUN ADEYALE
Credential :
Telephone Number : 317-460-8801
Provider Enumeration Date : 07/20/2020
Last Update Date : 07/28/2025

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Directions to “COMPASSIONATE HEALTH SERVICES LLC ” Practice Location

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