Provider Demographics
NPI:1871371674
Name:COMPASSION HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:COMPASSION HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-413-1428
Mailing Address - Street 1:12410 MILESTONE CENTER DR STE 620
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7101
Mailing Address - Country:US
Mailing Address - Phone:240-413-1428
Mailing Address - Fax:
Practice Address - Street 1:12410 MILESTONE CENTER DR STE 620
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7101
Practice Address - Country:US
Practice Address - Phone:240-413-1428
Practice Address - Fax:240-386-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty