Provider Demographics
NPI:1659621555
Name:COMPASS FAMILY CARE, LLC
Entity Type:Organization
Organization Name:COMPASS FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-517-5090
Mailing Address - Street 1:2122 FM 2920 RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3679
Mailing Address - Country:US
Mailing Address - Phone:281-907-6142
Mailing Address - Fax:281-907-6020
Practice Address - Street 1:2122 FM 2920 RD
Practice Address - Street 2:STE. A
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3678
Practice Address - Country:US
Practice Address - Phone:281-907-6142
Practice Address - Fax:281-907-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care