Provider Demographics
NPI:1639755606
Name:COMPASS SOLUTIONS OF NORTH CAROLINA
Entity Type:Organization
Organization Name:COMPASS SOLUTIONS OF NORTH CAROLINA
Other - Org Name:COMPASS SOLUTIONS OF NORTH CAROLINA
Other - Org Type:Other Name
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MCKEBA
Authorized Official - Middle Name:GOODS
Authorized Official - Last Name:BULLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-592-5962
Mailing Address - Street 1:203 N MAIN ST STE 408
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-5343
Mailing Address - Country:US
Mailing Address - Phone:336-647-4470
Mailing Address - Fax:
Practice Address - Street 1:203 N MAIN ST STE 408
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-5343
Practice Address - Country:US
Practice Address - Phone:336-647-4470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care