Healthcare Provider Details

I. General information

NPI: 1083136410
Provider Name (Legal Business Name): COMPASSION NORTH AMERICA HOME HEALTH SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 03/05/2022
Certification Date: 03/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 JOHNSON AVE NW STE 3
CEDAR RAPIDS IA
52405-4686
US

IV. Provider business mailing address

2841 JOHNSON AVE NW STE 3
CEDAR RAPIDS IA
52405-4686
US

V. Phone/Fax

Practice location:
  • Phone: 319-202-1367
  • Fax:
Mailing address:
  • Phone: 319-202-1367
  • Fax: 888-356-3255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MBALU KEBBIE
Title or Position: DIRECTOR OF NURSING AND HUMAN RESOU
Credential: RN, BSN
Phone: 319-533-4485