Provider Demographics
NPI:1154577468
Name:COMPRECARE SERVICES, INC.
Entity type:Organization
Organization Name:COMPRECARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORA
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-390-0130
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WV
Mailing Address - Zip Code:25541-0385
Mailing Address - Country:US
Mailing Address - Phone:304-390-0130
Mailing Address - Fax:304-390-0137
Practice Address - Street 1:1900 GARFIELD AVE
Practice Address - Street 2:UNIT B
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2565
Practice Address - Country:US
Practice Address - Phone:304-422-9862
Practice Address - Fax:304-428-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3069861Medicaid
WV0144228003Medicaid
WV2421050002Medicare NSC