Provider Demographics
NPI:1417833120
Name:COMPASSIONATE LOVING HOMECARE, LLC
Entity type:Organization
Organization Name:COMPASSIONATE LOVING HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENZEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KENEAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-495-4840
Mailing Address - Street 1:4917 WILLOWS GREEN LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5687
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4917 WILLOWS GREEN LN
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5687
Practice Address - Country:US
Practice Address - Phone:615-495-4840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care