MEDICARE: COMPANION COMPASS LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1437953858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPANION COMPASS LLC

Provider Business Mailing Address
First Line	:	11805 W HAMPTON AVE STE 103-C
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-3612
Country	:	US
Telephone Number	:	414-331-2071
Fax Number	:

Provider Business Practice Location Address
First Line	:	11805 W HAMPTON AVE STE 103-C
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-3612
Country	:	US
Telephone Number	:	414-331-2071
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAAB VANG
Credential	:
Telephone Number	:	414-331-2071

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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Directions to “COMPANION COMPASS LLC ” Practice Location

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