Organization Active NPI

Compassionate Care Nursing

  • Licensed Practical Nurse
  • Du Bois, PA
National Provider Identifier
1700542305
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
COMPASSIONATE CARE NURSING
Practice address
21 Ollie LN
Du Bois, PA 15801-5847
Phone
(814) 771-6355
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Maureen Cooper
Title
Ceo
Phone
(814) 771-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

21 Ollie LN
Du Bois, PA 15801-5847

Mailing address

21 Ollie LN
Du Bois, PA 15801-5847
Phone (814) 771-6355

Other identifiers 1

IdentifierTypeStateIssuer
25555178OtherPASTAFFING AGENCY AND GET PAID BY DIRECT HOME

Other names 1

  • Compassionate Care Nursing Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1700542305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OLLIE LN",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015847",
            "telephone_number": "814-771-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLLIE LN",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015847",
            "telephone_number": "814-771-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-771-6355"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAFFING AGENCY AND GET PAID BY DIRECT HOME",
            "identifier": "25555178",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Care Nursing",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.