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NPI Code Detail

MEDICARE: COMPASSION NORTH AMERICA HOME HEALTH SERVICES CORP

MEDICARE: COMPASSION NORTH AMERICA HOME HEALTH SERVICES CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency
2251J00000XNursing Care Agency
3253Z00000XIn Home Supportive Care Agency
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1083136410
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSION NORTH AMERICA HOME HEALTH SERVICES CORP
Provider Business Mailing Address
First Line : 2841 JOHNSON AVE NW STE 3
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52405-4686
Country : US
Telephone Number : 319-202-1367
Fax Number : 888-356-3255
Provider Business Practice Location Address
First Line : 2841 JOHNSON AVE NW STE 3
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52405-4686
Country : US
Telephone Number : 319-202-1367
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF NURSING AND HUMAN RESOU
Name : MBALU KEBBIE
Credential : RN, BSN
Telephone Number : 319-533-4485
Provider Enumeration Date : 07/07/2017
Last Update Date : 03/05/2022

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Directions to “COMPASSION NORTH AMERICA HOME HEALTH SERVICES CORP ” Practice Location

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