Provider Demographics
NPI:1598395550
Name:COMPASSIONATE HEALTHCARE LLC
Entity type:Organization
Organization Name:COMPASSIONATE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANEGER
Authorized Official - Prefix:MS
Authorized Official - First Name:URMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARIKHOM
Authorized Official - Suffix:
Authorized Official - Credentials:BOM
Authorized Official - Phone:732-322-3454
Mailing Address - Street 1:117 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-5131
Mailing Address - Country:US
Mailing Address - Phone:862-202-1846
Mailing Address - Fax:973-773-0076
Practice Address - Street 1:117 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-5131
Practice Address - Country:US
Practice Address - Phone:862-202-1846
Practice Address - Fax:973-773-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1477106516OtherNPPES