Provider Demographics
NPI:1548935109
Name:COMPASSITANT COMPANION CARE LLC
Entity type:Organization
Organization Name:COMPASSITANT COMPANION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:NGOBIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-446-8723
Mailing Address - Street 1:2755 CHESTNUT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2497
Mailing Address - Country:US
Mailing Address - Phone:281-608-7227
Mailing Address - Fax:
Practice Address - Street 1:2755 CHESTNUT RIDGE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2497
Practice Address - Country:US
Practice Address - Phone:281-608-7227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-14
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care