Provider Demographics
NPI:1881046696
Name:COMPASS HOME HEALTH & REHAB, LLC
Entity type:Organization
Organization Name:COMPASS HOME HEALTH & REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SKRYPSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:570-510-6074
Mailing Address - Street 1:239 SCHUYLER AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-3336
Mailing Address - Country:US
Mailing Address - Phone:570-287-4800
Mailing Address - Fax:570-287-3289
Practice Address - Street 1:239 SCHUYLER AVE
Practice Address - Street 2:STE 210
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-3336
Practice Address - Country:US
Practice Address - Phone:570-287-4800
Practice Address - Fax:570-287-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA397466BMedicare Oscar/Certification