Provider Demographics
NPI:1316125974
Name:COMPASSIONATE HOME CARE, INC.
Entity type:Organization
Organization Name:COMPASSIONATE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISSEY
Authorized Official - Middle Name:EARLENE
Authorized Official - Last Name:LIMBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-696-0946
Mailing Address - Street 1:PO BOX 6006
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28793-6006
Mailing Address - Country:US
Mailing Address - Phone:828-696-0946
Mailing Address - Fax:828-698-0308
Practice Address - Street 1:622 KANUGA RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-5228
Practice Address - Country:US
Practice Address - Phone:828-696-0946
Practice Address - Fax:828-698-0308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1814251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1376510859OtherNPI
NC1871796375Medicaid