Provider Demographics
NPI:1447837216
Name:COMPASSIONATE CARE MANAGEMENT
Entity type:Organization
Organization Name:COMPASSIONATE CARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:EDELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-250-8571
Mailing Address - Street 1:2320 TERRA CEIA BAY BLVD UNIT 805
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5905
Mailing Address - Country:US
Mailing Address - Phone:941-250-8571
Mailing Address - Fax:941-761-6811
Practice Address - Street 1:2320 TERRA CEIA BAY BLVD UNIT 805
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5905
Practice Address - Country:US
Practice Address - Phone:941-250-8571
Practice Address - Fax:941-761-6811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty