Provider Demographics
NPI:1851118251
Name:COMPREHENSIVE AND COMPASSIONATE CARE LLC
Entity type:Organization
Organization Name:COMPREHENSIVE AND COMPASSIONATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LACMBOUH
Authorized Official - Middle Name:GHISLAIN
Authorized Official - Last Name:ADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-566-3694
Mailing Address - Street 1:5298 SUNDIAL LN
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55129-5526
Mailing Address - Country:US
Mailing Address - Phone:763-910-3464
Mailing Address - Fax:
Practice Address - Street 1:6043 HUDSON RD STE 140L-A
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1018
Practice Address - Country:US
Practice Address - Phone:608-566-3694
Practice Address - Fax:651-477-8047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health