Provider Demographics
NPI:1992420699
Name:COMPASSIONATE CARE AGENCY LLC.
Entity type:Organization
Organization Name:COMPASSIONATE CARE AGENCY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-281-4537
Mailing Address - Street 1:1650 S DIXIE HWY STE 200B
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7461
Mailing Address - Country:US
Mailing Address - Phone:954-669-4075
Mailing Address - Fax:
Practice Address - Street 1:1650 S DIXIE HWY STE 200B
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7461
Practice Address - Country:US
Practice Address - Phone:954-669-4075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care