Provider Demographics
NPI:1184780645
Name:COMPASS HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:COMPASS HOME HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-611-0001
Mailing Address - Street 1:PO BOX 600007
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33160-0007
Mailing Address - Country:US
Mailing Address - Phone:888-611-0001
Mailing Address - Fax:305-397-2134
Practice Address - Street 1:3890 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 221
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3319
Practice Address - Country:US
Practice Address - Phone:888-611-0001
Practice Address - Fax:305-397-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992567251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health