Provider Demographics
NPI:1972326981
Name:COMPASSION HOME CARE, LLC
Entity type:Organization
Organization Name:COMPASSION HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HETTENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-432-5590
Mailing Address - Street 1:10945 STATE BRIDGE RD STE 401-289
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8164
Mailing Address - Country:US
Mailing Address - Phone:404-432-5590
Mailing Address - Fax:678-786-9923
Practice Address - Street 1:5575 GROVE POINT RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5635
Practice Address - Country:US
Practice Address - Phone:404-432-5590
Practice Address - Fax:678-786-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health