Compassion Care Health Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMPASSION CARE HEALTH CLINIC LLC

Practice address

38 NE 20TH Ave Ste B
Pompano Beach, FL 33060-6548

Phone

(954) 545-1723

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Jean M Russell

Title

Manager Member

Phone

(954) 545-1723

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William M Charles, D.O.

  • Addiction Psychiatry Physician
  • Crystal River, FL
  • NPI 1861461832
  Medicare reassignment NPD

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1144044140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NE 20TH AVE STE B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606548",
            "telephone_number": "954-545-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 NE 20TH AVE STE B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606548",
            "telephone_number": "954-545-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION CARE HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "954-545-1723"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.