Provider Demographics
NPI:1932727005
Name:COMPASSIONATE CARE HOME HEALTH SERVICE
Entity type:Organization
Organization Name:COMPASSIONATE CARE HOME HEALTH SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:L
Authorized Official - Last Name:WRIGHT-YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:601-213-8890
Mailing Address - Street 1:242 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-3723
Mailing Address - Country:US
Mailing Address - Phone:601-213-8890
Mailing Address - Fax:
Practice Address - Street 1:7570 OLD CANTON RD STE 203
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-6100
Practice Address - Country:US
Practice Address - Phone:601-213-8890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care