Provider Demographics
NPI:1902671183
Name:COMPASSIONATE CARE AND STAFFING LLC
Entity type:Organization
Organization Name:COMPASSIONATE CARE AND STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-274-7467
Mailing Address - Street 1:1930 S ALMA SCHOOL RD STE D107
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3095
Mailing Address - Country:US
Mailing Address - Phone:480-274-7467
Mailing Address - Fax:
Practice Address - Street 1:1930 S ALMA SCHOOL RD STE D107
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3095
Practice Address - Country:US
Practice Address - Phone:480-274-7467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care