Provider Demographics
NPI:1871305748
Name:COMPASSIONATE CARE CASE MANAGEMENT
Entity type:Organization
Organization Name:COMPASSIONATE CARE CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MOTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CASE MANAGER/OWNER
Authorized Official - Phone:404-454-6380
Mailing Address - Street 1:575 MOSSY TRCE
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-8523
Mailing Address - Country:US
Mailing Address - Phone:404-454-6380
Mailing Address - Fax:678-425-9904
Practice Address - Street 1:575 MOSSY TRCE
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-8523
Practice Address - Country:US
Practice Address - Phone:404-454-6380
Practice Address - Fax:678-425-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management