Compassion Community Residence LLC
Case Manager/Care Coordinator in Mansfield, TX. Organization (NPI-2).
NPI number1174449797
StatusActive
Last updated in NPPESJun 26, 2026
Details
- NPI
- 1174449797
- Entity type
- Organization (NPI-2)
- Legal business name
- Compassion Community Residence LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2026
- Certification date
- Jun 27, 2026
- Last updated
- Jun 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
11 Fern Oak CtMansfield, TX 76063-6265
Phone 817-681-0920 · Fax 414-755-7676
Mailing address
11 Fern Oak CtMansfield, TX 76063-6265
Phone 817-681-0920 · Fax 817-681-0920
Authorized official
Qiana Marie Washington
Owner
8176810920
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