Provider Demographics
NPI:1063698702
Name:COMPASSIONATE FRIEND HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:COMPASSIONATE FRIEND HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-938-5718
Mailing Address - Street 1:PO BOX 172548
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-2548
Mailing Address - Country:US
Mailing Address - Phone:214-938-5718
Mailing Address - Fax:817-704-3298
Practice Address - Street 1:1113 SOUTHLAKE DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-1528
Practice Address - Country:US
Practice Address - Phone:214-938-5718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health