Provider Demographics
NPI:1407375470
Name:COMPASSIONATE CARE SERVICES LLC.
Entity type:Organization
Organization Name:COMPASSIONATE CARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-986-3177
Mailing Address - Street 1:PO BOX 2529
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-7529
Mailing Address - Country:US
Mailing Address - Phone:973-910-2797
Mailing Address - Fax:973-435-7445
Practice Address - Street 1:80 MANCHESTER CT
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3388
Practice Address - Country:US
Practice Address - Phone:973-986-3177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0506478Medicaid
NJ0440493Medicaid