Provider Demographics
NPI:1154787646
Name:COMPASSIONATE HEARTS HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:COMPASSIONATE HEARTS HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-514-6891
Mailing Address - Street 1:7746 MCCARSON LN
Mailing Address - Street 2:
Mailing Address - City:WALLS
Mailing Address - State:MS
Mailing Address - Zip Code:38680-9553
Mailing Address - Country:US
Mailing Address - Phone:870-514-6891
Mailing Address - Fax:
Practice Address - Street 1:7746 MCCARSON LN
Practice Address - Street 2:
Practice Address - City:WALLS
Practice Address - State:MS
Practice Address - Zip Code:38680-9553
Practice Address - Country:US
Practice Address - Phone:870-514-6891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care