Provider Demographics
NPI:1881448397
Name:COMPASSION CARE CONNECTIONS CORPORATION
Entity type:Organization
Organization Name:COMPASSION CARE CONNECTIONS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-696-0456
Mailing Address - Street 1:152 LAUREL WAY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3193
Mailing Address - Country:US
Mailing Address - Phone:215-696-0456
Mailing Address - Fax:
Practice Address - Street 1:150 NORTH ST STE H
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-2767
Practice Address - Country:US
Practice Address - Phone:215-696-0456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care