Provider Demographics
NPI:1124327572
Name:COMPASSIONATE & CARING FAMILY SERVICES LLC
Entity type:Organization
Organization Name:COMPASSIONATE & CARING FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:409-347-8849
Mailing Address - Street 1:2230 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-1539
Mailing Address - Country:US
Mailing Address - Phone:409-347-8849
Mailing Address - Fax:409-291-7028
Practice Address - Street 1:2230 HAZEL ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-1539
Practice Address - Country:US
Practice Address - Phone:409-347-8849
Practice Address - Fax:409-291-7028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities