Provider Demographics
NPI:1902236284
Name:COMPASSIONATE HANDS PERSONAL CARE
Entity Type:Organization
Organization Name:COMPASSIONATE HANDS PERSONAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-274-6744
Mailing Address - Street 1:PO BOX 741373
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-1325
Mailing Address - Country:US
Mailing Address - Phone:404-275-6744
Mailing Address - Fax:770-991-9768
Practice Address - Street 1:229 DEEP SOUTH RD
Practice Address - Street 2:
Practice Address - City:SENOIA
Practice Address - State:GA
Practice Address - Zip Code:30276
Practice Address - Country:US
Practice Address - Phone:404-275-6744
Practice Address - Fax:770-991-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle