Healthcare Provider Details

I. General information

NPI: 1487586798
Provider Name (Legal Business Name): COMPASS CARE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 E LOS ANGELES AVE STE 103
SIMI VALLEY CA
93063-5214
US

IV. Provider business mailing address

5775 E LOS ANGELES AVE STE 103
SIMI VALLEY CA
93063-5214
US

V. Phone/Fax

Practice location:
  • Phone: 914-841-4418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY MEISE
Title or Position: OWNER
Credential:
Phone: 609-342-9430