Compassionate Professional Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPASSIONATE PROFESSIONAL HOME CARE, LLC

Practice address

527 US Highway 80 W # C102
Garden City, GA 31408-3115

Phone

(912) 677-2143

NPI assigned

May 15, 2020

Last updated

Dec 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latrisse Davis

Title

Owner

Phone

(912) 677-2143

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1003438748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 US HIGHWAY 80 W # C102",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314083115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 US HIGHWAY 80 W # C102",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314083115",
            "telephone_number": "912-677-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE PROFESSIONAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-12-11",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LATRISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-677-2143"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000000",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9126772143",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "527 US Highway 80 W # C102",
            "city": "Garden City",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314083115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ronald Exley Cook, RPH
• William D Dailey, DMD
• David B Bradley Optometrist PC

• Home Health Agency in Garden City, GA
• Providers in Garden City, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.