# COMPASSION COMMUNITY RESIDENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174449797
- **Authorized official:** QIANA MARIE WASHINGTON LVN (OWNER)
- **Authorized official phone:** (817) 681-0920

## Contact information

- **Practice address:** 11 FERN OAK CT, MANSFIELD, TX 76063-6265
- **Practice address phone:** (817) 681-0920
- **Practice address fax:** (414) 755-7676
- **Mailing address:** 11 FERN OAK CT, MANSFIELD, TX 76063-6265
- **Mailing address phone:** (817) 681-0920
- **Mailing address fax:** (817) 681-0920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2026
- **Last updated:** 06/26/2026
