Healthcare Provider Details

I. General information

NPI: 1891449500
Provider Name (Legal Business Name): COMPASS HEALTH HOUSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 LOMBARD AVE
EVERETT WA
98201-4463
US

IV. Provider business mailing address

4526 FEDERAL AVE
EVERETT WA
98203-2132
US

V. Phone/Fax

Practice location:
  • Phone: 425-349-8172
  • Fax: 360-251-7620
Mailing address:
  • Phone: 425-349-8172
  • Fax: 360-776-9206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TOM SEBASTIAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 425-349-6200