Provider Demographics
NPI:1144793332
Name:COMPASSIONATE CARE & HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:COMPASSIONATE CARE & HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUKEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-922-7374
Mailing Address - Street 1:704 SANDBOX DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1502
Mailing Address - Country:US
Mailing Address - Phone:469-338-7090
Mailing Address - Fax:
Practice Address - Street 1:26919 US HIGHWAY 380 E STE 200
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-8063
Practice Address - Country:US
Practice Address - Phone:469-338-7090
Practice Address - Fax:469-519-1542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX341241302Medicaid