COMPASSIONATE HEART GIFTED HANDS HOME CARE LLC - NPI 1619719333 - In Home Supportive Care in Fort Wayne, IN

Q: What is Compassionate Heart Gifted Hands Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

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About Compassionate Heart Gifted Hands Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPASSIONATE HEART GIFTED HANDS HOME CARE LLC (NPI 1619719333) is a healthcare organization registered as an in home supportive care in Fort Wayne, Indiana and active in the NPI registry since June 2024. The organization lists Mayokun Adeyale, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619719333

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameCOMPASSIONATE HEART GIFTED HANDS HOME CARE LLC

Location Address6720 E STATE BLVDFort Wayne, IN 46815-7762

Mailing Address6720 E State BlvdFort Wayne, IN 46815-7762 · (317) 460-8801 · Fax (574) 975-4155

Phone(317) 460-8801

Fax(574) 975-4155

Organization SubpartNo

Authorized OfficialMayokun AdeyaleAdministrator · (317) 460-8801

Enumeration DateJune 12, 2024

NPPES CertifiedJune 12, 2024

✔ NPI 1619719333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

6720 E STATE BLVD, Fort Wayne, IN 46815

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2242132

Compassionate Health Services, LLC · Fort Wayne, IN

Expired · Nov 3, 2025

CLIA Number15D2242132

Laboratory TypeHome Health Agency

Certificate Effective DateNovember 4, 2023

Certificate Expiration DateNovember 3, 2025

Laboratory DirectorMayokun Adeyale

Laboratory Phone(260) 494-5844

Laboratory LocationCompassionate Health Services, LLC6720 E State Blvd, Fort Wayne, IN 46815

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPASSIONATE CARE HOMES LLC

Case Manager/Care Coordinator