Provider Demographics
NPI:1043590797
Name:COMPASS CARE FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:COMPASS CARE FAMILY SERVICES LLC
Other - Org Name:COMPASS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUIANA
Authorized Official - Middle Name:MESHELL
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-852-2309
Mailing Address - Street 1:26182 CAMDEN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29707-6339
Mailing Address - Country:US
Mailing Address - Phone:201-852-2309
Mailing Address - Fax:803-720-5590
Practice Address - Street 1:6000 FAIRVIEW RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-2224
Practice Address - Country:US
Practice Address - Phone:201-852-2309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health