Provider Demographics
NPI:1093038457
Name:COMPAT CERTIFIED IN-HOME NURSING LLC
Entity Type:Organization
Organization Name:COMPAT CERTIFIED IN-HOME NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINIDTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COMFORT
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-276-2100
Mailing Address - Street 1:17932 FRALEY BLVD STE 400A
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2485
Mailing Address - Country:US
Mailing Address - Phone:703-221-1288
Mailing Address - Fax:703-997-0063
Practice Address - Street 1:17932 FRALEY BLVD STE 400A
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2485
Practice Address - Country:US
Practice Address - Phone:703-221-1288
Practice Address - Fax:703-997-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health