Healthcare Provider Details

I. General information

NPI: 1396733887
Provider Name (Legal Business Name): COMPASS HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 FARROLL AVE
ARROYO GRANDE CA
93420-3718
US

IV. Provider business mailing address

1212 FARROLL AVE
ARROYO GRANDE CA
93420-3718
US

V. Phone/Fax

Practice location:
  • Phone: 805-489-8137
  • Fax: 805-481-1534
Mailing address:
  • Phone: 805-489-8137
  • Fax: 805-481-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. MARIE MOYA
Title or Position: CONTROLLER
Credential:
Phone: 805-474-7010