Provider Demographics
NPI:1396332417
Name:COMPASSION CAREGIVERS, LLC
Entity type:Organization
Organization Name:COMPASSION CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDA
Authorized Official - Middle Name:CINDA
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:608-467-9507
Mailing Address - Street 1:2993 KAPEC RD
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53719-5009
Mailing Address - Country:US
Mailing Address - Phone:608-467-9507
Mailing Address - Fax:608-467-9510
Practice Address - Street 1:2993 KAPEC RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53719-5009
Practice Address - Country:US
Practice Address - Phone:608-467-9507
Practice Address - Fax:608-467-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100054858Medicaid