Provider Demographics
NPI:1902249188
Name:COMPASSION FOR THE ELDERLY AGENCY
Entity Type:Organization
Organization Name:COMPASSION FOR THE ELDERLY AGENCY
Other - Org Name:COMPASSION FOR THE ELDERLY AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KOFI
Authorized Official - Middle Name:ASIEDU
Authorized Official - Last Name:SELBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-907-5737
Mailing Address - Street 1:2721 RING RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-5129
Mailing Address - Country:US
Mailing Address - Phone:336-907-5737
Mailing Address - Fax:336-375-0724
Practice Address - Street 1:2721 RING RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5129
Practice Address - Country:US
Practice Address - Phone:336-907-5737
Practice Address - Fax:336-375-0724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4554251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health