MEDICARE: COMPASSIONATE ANGELS CORPORATION

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	:	1871306803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE ANGELS CORPORATION

Provider Business Mailing Address
First Line	:	20225 WATER TOWER BLVD STE 300
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-3597
Country	:	US
Telephone Number	:	414-897-9986
Fax Number	:	414-238-9461

Provider Business Practice Location Address
First Line	:	20225 WATER TOWER BLVD STE 300
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-3597
Country	:	US
Telephone Number	:	414-367-7581
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JOYCE NWATUOBI
Credential	:
Telephone Number	:	732-395-8917

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	02/20/2026

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