MEDICARE: COMPASSIONATE HEARTS HOME HEALTH 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
1	253Z00000X	In Home Supportive Care Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1932799293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE HEARTS HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6000 ALTERSGATE LN APT 2106
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 ALTERSGATE LN APT 2106
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7928
Country	:	US
Telephone Number	:	682-414-4194
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JACKLINE BEGUMISA NAMARA
Credential	:
Telephone Number	:	682-414-4194

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	11/09/2022

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