Provider Demographics
NPI:1588419964
Name:COMPASSION RESIDENCE
Entity type:Organization
Organization Name:COMPASSION RESIDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HADI
Authorized Official - Middle Name:
Authorized Official - Last Name:GHASEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-838-2606
Mailing Address - Street 1:25502 PAR POINT CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-2124
Mailing Address - Country:US
Mailing Address - Phone:713-838-2606
Mailing Address - Fax:
Practice Address - Street 1:25502 PAR POINT CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-2124
Practice Address - Country:US
Practice Address - Phone:713-838-2606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center