Provider Demographics
NPI:1700118205
Name:COMPAS HOME HEALTH CARE OF MICHIGAN, LLC
Entity Type:Organization
Organization Name:COMPAS HOME HEALTH CARE OF MICHIGAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:810-721-7700
Mailing Address - Street 1:21 N CEDAR ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:IMLAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48444-1188
Mailing Address - Country:US
Mailing Address - Phone:810-721-7700
Mailing Address - Fax:810-721-7688
Practice Address - Street 1:21 N CEDAR ST
Practice Address - Street 2:SUITE C
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444-1188
Practice Address - Country:US
Practice Address - Phone:810-721-7700
Practice Address - Fax:810-721-7688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health