Organization
COMPASSION HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA HICKS (OWNER)
(919) 866-2928
Entity
Organization
Contact information
Practice address
5306 SIX FORKS RD STE 107, RALEIGH, NC 27609-4468
(919) 824-6791
Mailing address
5306 SIX FORKS RD STE 107, RALEIGH, NC 27609-4468
(919) 824-6791
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/08/2022
Last updated
03/28/2024
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