Provider Demographics
NPI:1255739868
Name:COMPASS HOME CARE AND REHAB CENTER LLC
Entity type:Organization
Organization Name:COMPASS HOME CARE AND REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LNHA
Authorized Official - Phone:978-710-3800
Mailing Address - Street 1:225 STEDMAN ST
Mailing Address - Street 2:SUITE 32
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-2700
Mailing Address - Country:US
Mailing Address - Phone:978-710-3800
Mailing Address - Fax:978-710-4057
Practice Address - Street 1:225 STEDMAN ST
Practice Address - Street 2:SUITE 32
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-2700
Practice Address - Country:US
Practice Address - Phone:978-710-3800
Practice Address - Fax:978-710-4057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health