Provider Demographics
NPI:1578923942
Name:COMPASS REGIONAL HOSPICE, INC
Entity Type:Organization
Organization Name:COMPASS REGIONAL HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:AILEEN
Authorized Official - Last Name:GUERIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-262-4100
Mailing Address - Street 1:160 COURSEVALL DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617-1824
Mailing Address - Country:US
Mailing Address - Phone:443-262-4100
Mailing Address - Fax:410-758-2185
Practice Address - Street 1:160 COURSEVALL DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:MD
Practice Address - Zip Code:21617-1824
Practice Address - Country:US
Practice Address - Phone:443-262-4100
Practice Address - Fax:443-262-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH15292086H0002X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative MedicineGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty