Healthcare Provider Details

I. General information

NPI: 1164678363
Provider Name (Legal Business Name): COMPASS HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W MLK BLVD STE 202
TAMPA FL
33603-3600
US

IV. Provider business mailing address

PO BOX 600007
MIAMI FL
33160-0007
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VALERIE JEUNE
Title or Position: DIRECTOR
Credential:
Phone: 305-944-7777