Provider Demographics
NPI:1316686553
Name:COMPASSIONATE CENTER FOR HEALTH INC.
Entity type:Organization
Organization Name:COMPASSIONATE CENTER FOR HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLEM
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-486-6843
Mailing Address - Street 1:7726 FINNS LN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1321
Mailing Address - Country:US
Mailing Address - Phone:240-486-6843
Mailing Address - Fax:240-828-8104
Practice Address - Street 1:7726 FINNS LN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1321
Practice Address - Country:US
Practice Address - Phone:240-486-6843
Practice Address - Fax:240-828-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR212599OtherLICENSE