Provider Demographics
NPI:1750196309
Name:COMPASS ASSISTED LIVING LLC
Entity type:Organization
Organization Name:COMPASS ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LALD
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORABU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-214-5271
Mailing Address - Street 1:13144 ZACHARY LN N
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:55327-9760
Mailing Address - Country:US
Mailing Address - Phone:651-214-5271
Mailing Address - Fax:
Practice Address - Street 1:7901 MOUNT CURVE BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2351
Practice Address - Country:US
Practice Address - Phone:651-214-5271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility