| Organization Name: | COMPASSION COMMUNITY SERV LLC |
| NPI Number: | 1003076019 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIE MITCHELL (CEO) |
| Mailing Address: | 910 E Main St Ste 23 New Iberia |
| State: | LA US |
| Postal Code: | 705603865 |
| Phone Number: | 3373675858 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2008 |
| NPI Last Update Date: | 06/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3747A0650X |
| License Number: | PCA 12828 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Technician |
| Taxonomy Specialization: | Attendant Care Provider |
| Taxonomy Definition: | An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |