Compassion Health Source, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-13841 Issued in VA

Legal business name

COMPASSION HEALTH SOURCE, INC

Practice address

5514 Alma LN Ste 101
Springfield, VA 22151-4014

Phone

(703) 992-7914

Fax

(703) 992-7913

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Lucile W Tiongson, RN

Title

Executive Administrator

Phone

(703) 992-7914

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1881941037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 ALMA LN STE 101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514014",
            "telephone_number": "703-992-7914",
            "fax_number": "703-992-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 ALMA LN STE 101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514014",
            "telephone_number": "703-992-7914",
            "fax_number": "703-992-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION HEALTH SOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "TIONGSON",
        "authorized_official_first_name": "LUCILE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-992-7914",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-13841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157604270",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154583303",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.