Provider Demographics
NPI:1215662440
Name:COMPASSION CARE HOSPICE LLC
Entity type:Organization
Organization Name:COMPASSION CARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESHAWN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-557-0050
Mailing Address - Street 1:222 S MILL AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2899
Mailing Address - Country:US
Mailing Address - Phone:602-609-8523
Mailing Address - Fax:
Practice Address - Street 1:222 S MILL AVE STE 800
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2899
Practice Address - Country:US
Practice Address - Phone:602-609-8523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based