Healthcare Provider Details

I. General information

NPI: 1942685979
Provider Name (Legal Business Name): COMPASS HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 07/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 W US HIGHWAY 77 STE C
SAN BENITO TX
78586-7779
US

IV. Provider business mailing address

2402 W US HIGHWAY 77 STE C
SAN BENITO TX
78586-7779
US

V. Phone/Fax

Practice location:
  • Phone: 956-399-4500
  • Fax:
Mailing address:
  • Phone: 956-399-4500
  • Fax:

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 TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HENRY FERNANDEZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 956-399-4500