Provider Demographics
NPI:1144344052
Name:HANDS OF COMPASSION HOME CARE, LLC
Entity type:Organization
Organization Name:HANDS OF COMPASSION HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:VAHLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-329-4545
Mailing Address - Street 1:1030 ANDREWS HWY
Mailing Address - Street 2:STE 203
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701
Mailing Address - Country:US
Mailing Address - Phone:432-218-7996
Mailing Address - Fax:432-699-4102
Practice Address - Street 1:1030 ANDREWS HWY
Practice Address - Street 2:STE 203
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701
Practice Address - Country:US
Practice Address - Phone:432-218-7996
Practice Address - Fax:432-699-4102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-17
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743175Medicare Oscar/Certification