Provider Demographics
NPI:1083050280
Name:COMPASS AT HOME-A HEALTHY LIVING NETWORK COMPANY, LLC
Entity Type:Organization
Organization Name:COMPASS AT HOME-A HEALTHY LIVING NETWORK COMPANY, LLC
Other - Org Name:MISSION HOME HEALTH OF CENTRAL COAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP, FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-871-0766
Mailing Address - Street 1:2365 NORTHSIDE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2720
Mailing Address - Country:US
Mailing Address - Phone:888-871-0766
Mailing Address - Fax:866-551-0846
Practice Address - Street 1:200 S 13TH ST STE 204&205
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-3302
Practice Address - Country:US
Practice Address - Phone:805-335-8441
Practice Address - Fax:805-980-5705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health