Organization Active NPI

Compassionate Care Senior Services

  • Home Health Agency
  • Lithonia, GA
National Provider Identifier
1720261795
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPASSIONATE CARE SENIOR SERVICES
Practice address
8075 Mall Pkwy
Lithonia, GA 30038-6993
Phone
(770) 617-5259
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Vermell Jordan
Title
Owner
Phone
(770) 617-5259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8075 Mall Pkwy
Lithonia, GA 30038-6993

Mailing address

8075 Mall Pkwy
Lithonia, GA 30038-6993
Phone (770) 617-5259

National Provider Directory

National Provider Directory

Locations

8075 Mall Pkwy
Lithonia, GA 30038
Phone (770) 617-5259

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1720261795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 MALL PKWY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386993",
            "telephone_number": "770-617-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 MALL PKWY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386993",
            "telephone_number": "770-617-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "VERMELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-617-5259"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.