Provider Demographics
NPI:1558878116
Name:COMPASSION HEALTH SERVICES LLC
Entity type:Organization
Organization Name:COMPASSION HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:WANJIRA
Authorized Official - Last Name:WAITHAKA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-BC
Authorized Official - Phone:817-377-8820
Mailing Address - Street 1:7016 BRYANT IRVIN RD # 100
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4120
Mailing Address - Country:US
Mailing Address - Phone:817-377-8820
Mailing Address - Fax:817-377-8450
Practice Address - Street 1:7016 BRYANT IRVIN RD # 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4120
Practice Address - Country:US
Practice Address - Phone:817-377-8820
Practice Address - Fax:817-377-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1356796627Medicaid