Healthcare Provider Details

I. General information

NPI: 1285452110
Provider Name (Legal Business Name): COMPASSUS BSMH LIMA HHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

959 W NORTH ST
LIMA OH
45805-2457
US

IV. Provider business mailing address

10 CADILLAC DR STE 400
BRENTWOOD TN
37027-1001
US

V. Phone/Fax

Practice location:
  • Phone: 419-226-9062
  • Fax: 419-226-9281
Mailing address:
  • Phone: 615-637-9163
  • Fax: 615-373-4457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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: RUSSELL ADKINS
Title or Position: SVP, CHIEF LEGAL OFFICER
Credential:
Phone: 615-926-0340