MEDICARE: COMPASS HEALTH INC

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
1	314000000X	Skilled Nursing Facility	050000007	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134400633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASS HEALTH INC

Provider Business Mailing Address
First Line	:	200 S 13TH ST
Second Line	:	SUITE 208
City	:	GROVER BEACH
State	:	CA
Zip	:	93433-3302
Country	:	US
Telephone Number	:	805-474-7010
Fax Number	:	805-473-8766

Provider Business Practice Location Address
First Line	:	3880 VIA LUCERO
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1605
Country	:	US
Telephone Number	:	805-687-6651
Fax Number	:	805-682-5208

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MS. MARIE MOYA
Credential	:
Telephone Number	:	805-474-7010

Provider Enumeration Date	:	08/29/2011
Last Update Date	:	02/16/2016

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Directions to “COMPASS HEALTH INC ” Practice Location

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