Provider Demographics
NPI:1417741398
Name:COMPASSIONATE CAREGIVING BY AMANDA LLC
Entity type:Organization
Organization Name:COMPASSIONATE CAREGIVING BY AMANDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:DESOUZA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, CPE
Authorized Official - Phone:201-637-1281
Mailing Address - Street 1:560 SYLVAN AVE STE 3160
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3179
Mailing Address - Country:US
Mailing Address - Phone:201-637-1281
Mailing Address - Fax:866-475-3422
Practice Address - Street 1:560 SYLVAN AVE STE 3160
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3179
Practice Address - Country:US
Practice Address - Phone:201-637-1281
Practice Address - Fax:866-475-3422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home