Provider Demographics
NPI:1972320216
Name:COMPASSION CARE AGENCY
Entity type:Organization
Organization Name:COMPASSION CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHADI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-461-8181
Mailing Address - Street 1:1746 N MILDRED ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1239
Mailing Address - Country:US
Mailing Address - Phone:313-461-8181
Mailing Address - Fax:
Practice Address - Street 1:1746 N MILDRED ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1239
Practice Address - Country:US
Practice Address - Phone:313-461-8181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care