Basic Information
| Provider Information | |||||||||
| NPI: | 1295379931 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | COMPASS HEALTH INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 S 13TH ST STE 208 | ||||||||
| Address2: | |||||||||
| City: | GROVER BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934332263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8054747010 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3033 AUGUSTA ST | ||||||||
| Address2: | |||||||||
| City: | SAN LUIS OBISPO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934015820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055445100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2019 | ||||||||
| LastUpdateDate: | 11/06/2019 | ||||||||
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| AuthorizedOfficialLastName: | MOYA | ||||||||
| AuthorizedOfficialFirstName: | MARIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CONTROLLER | ||||||||
| AuthorizedOfficialTelephone: | 8054747010 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | COMPASS HEALTH INC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.