Provider Demographics
NPI:1720889926
Name:HEARTS OF COMPASSION HEALTHCARE LLC
Entity type:Organization
Organization Name:HEARTS OF COMPASSION HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEVONDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-869-4994
Mailing Address - Street 1:990 PEACHTREE INDUSTRIAL BLVD UNIT 913
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-5209
Mailing Address - Country:US
Mailing Address - Phone:770-869-4994
Mailing Address - Fax:770-869-4994
Practice Address - Street 1:990 PEACHTREE INDUSTRIAL BLVD UNIT 913
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-5209
Practice Address - Country:US
Practice Address - Phone:770-869-4994
Practice Address - Fax:770-869-4994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness