Provider Demographics
NPI:1205678133
Name:COMPASSION WITH CARE LLC
Entity type:Organization
Organization Name:COMPASSION WITH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:HIYAB
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBRETENSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-395-0890
Mailing Address - Street 1:1727 KING ST STE 105 P.O BOX #6
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2761
Mailing Address - Country:US
Mailing Address - Phone:301-395-0890
Mailing Address - Fax:
Practice Address - Street 1:8413 ROSEMONT CIR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-1713
Practice Address - Country:US
Practice Address - Phone:301-395-0890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities