Provider Demographics
NPI:1821022054
Name:COMPASS HOME HEALTH & REHAB LLC
Entity Type:Organization
Organization Name:COMPASS HOME HEALTH & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SKRYPSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:570-287-4800
Mailing Address - Street 1:250 S RIVER ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1143
Mailing Address - Country:US
Mailing Address - Phone:570-287-4800
Mailing Address - Fax:570-287-3289
Practice Address - Street 1:250 S RIVER ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1143
Practice Address - Country:US
Practice Address - Phone:570-287-4800
Practice Address - Fax:570-287-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA746605251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1038163880001Medicaid
PA397466OtherBLUE CROSS ENTITIES
PA397466BMedicare Oscar/Certification