Healthcare Provider Details

I. General information

NPI: 1730160078
Provider Name (Legal Business Name): COMPASS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16635 NE 19TH AVE
NORTH MIAMI BEACH FL
33162-3149
US

IV. Provider business mailing address

16635 NE 19TH AVE
NORTH MIAMI BEACH FL
33162-3149
US

V. Phone/Fax

Practice location:
  • Phone: 305-944-7777
  • Fax: 305-944-8450
Mailing address:
  • Phone: 305-944-7777
  • Fax: 305-397-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberHHA299992213
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA299992213
License Number StateFL

VIII. Authorized Official

Name: VALERIE JEUNE
Title or Position: PRESIDENT/CEO
Credential: MSM, BSN
Phone: 305-944-7777