Active NPI
Compassionate Care LLC
- Home Health Agency
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMPASSIONATE CARE LLC
- Practice address
- 1425 W Pioneer Dr Ste 264
Irving, TX 75061-7192 - Phone
- (972) 251-5313
- NPI assigned
- Dec 2, 2019
- Last updated
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ferah B Dolle
- Title
- Owner
- Phone
- (952) 594-0846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1425 W Pioneer Dr Ste 264
Irving, TX 75061-7192
Mailing address
1425 W Pioneer Dr Ste 264
Irving, TX 75061-7192
Phone (972) 251-5313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210908002895 | TX | Part A Provider - Home Health Agency | 7810393386 | Practice locations: Irving, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275170896. Details of each certification follow.
Home health agency certification: CCN 748063
- Legal name
- COMPASSIONATE CARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 25, 2022
- Last certification
- Oct 13, 2022
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Nov 12, 2019 in TX
- Enrollment address
- 1425 W Pioneer Dr
Ste 264
Irving, TX 75061-7146
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Compassionate Care, LLC
- Ownership
- Proprietary
- Certified
- Oct 25, 2022
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2266309 | Compassionate Care, LLC | Certificate of waiver | Aug 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
1425 W Pioneer Dr
Ste 264
Irving, TX 75061
Phone (952) 594-0846
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ferah Dolle | 5% Or Greater Direct Ownership Interest | Nov 12, 2019 | 100% |
| Corporate Director | Nov 12, 2019 | 100% | |
| W-2 Managing Employee | Nov 12, 2019 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1275170896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 W PIONEER DR STE 264",
"city": "IRVING",
"state": "TX",
"postal_code": "750617192",
"telephone_number": "972-251-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W PIONEER DR STE 264",
"city": "IRVING",
"state": "TX",
"postal_code": "750617192",
"telephone_number": "972-251-5313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-02",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "DOLLE",
"authorized_official_first_name": "FERAH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-594-0846"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.