| Compassion Community Care | |
|
5059 Hayes St Gary IN 46408-4355 | |
| (256) 797-1363 | |
| Not Available |
| Full Name | Compassion Community Care |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5059 Hayes St, Gary, Indiana |
| Authorized Official Name and Position | Aquanatte Jackson (CEO) |
| Authorized Official Contact | 2192928394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Community Care 5059 Hayes St Gary IN 46408-4355 Ph: (256) 797-1363 | Compassion Community Care 5059 Hayes St Gary IN 46408-4355 Ph: (256) 797-1363 |
| NPI Number | 1245860576 |
|---|---|
| Provider Enumeration Date | 01/26/2020 |
| Last Update Date | 09/16/2026 |
| Certification Date | 09/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245860576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (NU) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
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