Healthcare Provider Details
I. General information
NPI: 1942456421
Provider Name (Legal Business Name): COMPASS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2008
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1267 COURT ST
CLEARWATER FL
33756
US
IV. Provider business mailing address
PO BOX 600007
MIAMI FL
33160-0007
US
V. Phone/Fax
- Phone: 305-944-7777
- Fax:
- Phone: 305-944-7777
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VALERIE
JEUNE
Title or Position: DIRECTOR
Credential:
Phone: 305-944-7777