Organization Active NPI

Compassionate Care Services

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1679124028
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPASSIONATE CARE SERVICES
Doing business as
Compassionate Care Services
Practice address
5812 W Hills Rd
Fort Wayne, IN 46804-6358
Phone
(317) 460-8801
Fax
(574) 334-1135
NPI assigned
Sep 26, 2019
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPASSIONATE HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Mayokun Adeyale, OWNER
Title
Administrator
Phone
(317) 460-8801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

5812 W Hills Rd
Fort Wayne, IN 46804-6358

Mailing address

6720 E State Blvd
Fort Wayne, IN 46815-7762
Phone (317) 460-8801

Other names 1

  • Compassionate Care Services Doing business as

National Provider Directory

National Provider Directory
Part of
Compassionate Health Services LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1679124028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157762",
            "telephone_number": "317-460-8801",
            "fax_number": "574-334-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 W HILLS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046358",
            "telephone_number": "317-460-8801",
            "fax_number": "574-334-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASSIONATE HEALTH SERVICES",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ADEYALE",
        "authorized_official_first_name": "MAYOKUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-460-8801",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassionate Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.