Healthcare Provider Details
I. General information
NPI: 1750233995
Provider Name (Legal Business Name): COMPAGO GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
77 MONROE CENTER ST NW STE 600
GRAND RAPIDS MI
49503-2911
US
IV. Provider business mailing address
77 MONROE CENTER ST NW STE 600 PMB 3004
GRAND RAPIDS MI
49503-2911
US
V. Phone/Fax
- Phone: 312-918-5213
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRENDAN
KITT
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 312-918-5213