Organization Name: | COMPASSIONATE HOME GUARDIAN, L L C |
NPI Number: | 1427486240 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SERGIO ANTONIO PELAGATTI (ADMINISTRATOR) |
Mailing Address: | 300 S East St Culpeper |
State: | VA US |
Postal Code: | 227013106 |
Phone Number: | 5407640544 |
Fax Number: | 5407270772 |
NPI Enumeration Date: | 10/15/2013 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HCO-14996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |