MEDICARE: COMPASS FAMILY CONNECTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374700000X	Technician

General Provider Information

NPI Number	:	1356283873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASS FAMILY CONNECTIONS

Provider Business Mailing Address
First Line	:	1201 30TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-2959
Country	:	US
Telephone Number	:	330-500-7118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 30TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-2959
Country	:	US
Telephone Number	:	330-500-7118
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TINA CHURCH
Credential	:
Telephone Number	:	330-500-7118

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “COMPASS FAMILY CONNECTIONS ” Practice Location

Language	Start Address	Practice Location

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