Provider Demographics
NPI:1215439930
Name:COMPASSIONATE HOME HEALTH RESIDENTIAL SERVICES INC
Entity type:Organization
Organization Name:COMPASSIONATE HOME HEALTH RESIDENTIAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:EGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-616-9679
Mailing Address - Street 1:9403 HARFORD RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3123
Mailing Address - Country:US
Mailing Address - Phone:410-616-9679
Mailing Address - Fax:410-616-9687
Practice Address - Street 1:9403 HARFORD RD STE 6
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-3123
Practice Address - Country:US
Practice Address - Phone:410-616-9679
Practice Address - Fax:410-616-9687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty