MEDICARE: COMPASS HEALTHCARE 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56904	OTHER	MA	ABP ADMINISTRATION
2	56906	OTHER	OH	ABP ADMINISTRATION
3	602035	OTHER	MA	TUFTS HEALTH PLAN
4	0008819	OTHER	MA	NIEGHBORHOOD HEALTH PLAN
5	610139	OTHER	MA	HARVARD PILGRIM HEALTHCAR
6	56903	OTHER	GA	ABP ADMINISTRATION
7	1023145	OTHER	GA	ANCILLARY CARE MANAGEMENT
8	56907	OTHER	KY	NORTHWOOD
9	615795	OTHER	GA	BLUE CROSS BLUE SHIELD OF
10	000000216065	OTHER	OH	ANTHEM BLUE CROSS BLUE SH
11	56906	OTHER	OH	NORTHWOOD
12	56903	OTHER	GA	NORTHWOOD
13	DM135	OTHER	OH	HUMANA
14	356954	OTHER	MA	BLUE CROSS BLUE SHIELD OF
15	56904	OTHER	MA	NORTHWOOD
16	56907	OTHER	KY	ABP ADMINISTRATION
17	C2178	OTHER	GA	KALSER PERMANENTE

General Provider Information

NPI Number	:	1811907330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASS HEALTHCARE INC

Provider Business Mailing Address
First Line	:	9301 DIELMAN INDUSTRIAL DR
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63132
Country	:	US
Telephone Number	:	314-997-8889
Fax Number	:	314-569-9031

Provider Business Practice Location Address
First Line	:	9301 DIELMAN INDUSTRIAL DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-2204
Country	:	US
Telephone Number	:	314-997-8889
Fax Number	:	314-569-9031

Authorized Official
Title or Position	:	CFO
Name	:	DANIEL K LANE JR.
Credential	:
Telephone Number	:	314-997-8889

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/22/2020

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Directions to “COMPASS HEALTHCARE INC ” Practice Location

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