Provider Demographics
NPI:1851983332
Name:COMPASS ADULT PROGRAMS LLC
Entity Type:Organization
Organization Name:COMPASS ADULT PROGRAMS LLC
Other - Org Name:COMPASS HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LBS
Authorized Official - Phone:570-280-2800
Mailing Address - Street 1:38 N SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18407-1888
Mailing Address - Country:US
Mailing Address - Phone:570-281-6595
Mailing Address - Fax:
Practice Address - Street 1:38 N SCOTT ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-1888
Practice Address - Country:US
Practice Address - Phone:570-281-6595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASS ADULT PROGRAMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-06
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies