Provider Demographics
NPI:1437855251
Name:COMPASS DIRECT SERVICES
Entity Type:Organization
Organization Name:COMPASS DIRECT SERVICES
Other - Org Name:COMPASS DIRECT SERVICES, LLP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-904-8620
Mailing Address - Street 1:1846 OPAL ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-2706
Mailing Address - Country:US
Mailing Address - Phone:330-904-8620
Mailing Address - Fax:
Practice Address - Street 1:127 MILL ST SE STE BANDD
Practice Address - Street 2:
Practice Address - City:HARTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44632-9804
Practice Address - Country:US
Practice Address - Phone:330-904-8620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services