Provider Demographics
NPI:1720802044
Name:COMPASSIONATE ADULT CARE SERVICES LLC
Entity type:Organization
Organization Name:COMPASSIONATE ADULT CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANI
Authorized Official - Middle Name:GAYLORD
Authorized Official - Last Name:SIMWERAYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-722-8486
Mailing Address - Street 1:100 MURPHY ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-6010
Mailing Address - Country:US
Mailing Address - Phone:603-722-8486
Mailing Address - Fax:
Practice Address - Street 1:13 TENBY DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2020
Practice Address - Country:US
Practice Address - Phone:603-717-5989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities