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COMPASSIONATE CARE HOME HEALTH INC. NPI 1992798847


NPI Information

NPI: 1992798847
Provider Name: COMPASSIONATE CARE HOME HEALTH, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 05D0978600

Address:
2235 N LAKE AVE
SUITE 209
ALTADENA, CA
ZIP 91001
Phone: (626) 791-3300
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COMPASSIONATE CARE HOME HEALTH, INC. is a home health in Altadena, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. COMPASSIONATE CARE HOME HEALTH, INC. NPI is 1992798847. The provider is registered as an organization entity type.

The provider's business location address is:

2235 N LAKE AVE
SUITE 209
ALTADENA, CA
ZIP 91001-465
Phone: (626) 791-3300
Fax: (626) 791-5502

The provider's authorized official is Larenda Renee Martin .
The authorized official title is Administrator/dopcs and has the following contact phone number (626) 791-3300.

The CLIA number assigned to this NPI record is 05D0978600 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HHA08073FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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