1033355672 NPI number — COMPASSIONATE CARING HOME CARE, INC.

Table of content: MR. ERIC ESTRADA RDN, LD (NPI 1356587992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033355672 NPI number — COMPASSIONATE CARING HOME CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPASSIONATE CARING HOME CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033355672
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3107 W HALLANDALE BEACH BLVD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HALLANDALE BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33009-5137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-358-2170
Provider Business Mailing Address Fax Number:
954-358-2172

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3107 W HALLANDALE BEACH BLVD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HALLANDALE BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33009-5137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-358-2170
Provider Business Practice Location Address Fax Number:
954-358-2172
Provider Enumeration Date:
01/04/2009

Additional Information

Authorized Official

Authorized Official Last Name:
FONTUS
Authorized Official First Name:
MARIE
Authorized Official Middle Name:
Y.
Authorized Official Title or Position:
ADMINISTRATOR/OWNER
Authorized Official Telephone Number:
954-358-2170

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  299993365 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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