Provider Demographics
NPI:1497356232
Name:COMPASSIONATE HEARTS HEALTH CARE, LLC
Entity type:Organization
Organization Name:COMPASSIONATE HEARTS HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GIILEH
Authorized Official - Middle Name:
Authorized Official - Last Name:KEBBIE SCHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-346-7888
Mailing Address - Street 1:12806 GLASGOW CT
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-7034
Mailing Address - Country:US
Mailing Address - Phone:301-786-3600
Mailing Address - Fax:301-786-3800
Practice Address - Street 1:12806 GLASGOW CT
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-7034
Practice Address - Country:US
Practice Address - Phone:301-346-6788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care