Provider Demographics
NPI:1548891948
Name:COMPACT CARE FACILITIES
Entity type:Organization
Organization Name:COMPACT CARE FACILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUSOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNBANJO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN-RN
Authorized Official - Phone:609-892-4692
Mailing Address - Street 1:4646 THELMA AVE
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-9579
Mailing Address - Country:US
Mailing Address - Phone:609-892-4692
Mailing Address - Fax:612-646-6200
Practice Address - Street 1:4646 THELMA AVE
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-9579
Practice Address - Country:US
Practice Address - Phone:609-892-4692
Practice Address - Fax:612-646-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Multi-Specialty