Provider Demographics
NPI:1194524942
Name:COMPASS RESPITE AND DAY CENTER LLC
Entity type:Organization
Organization Name:COMPASS RESPITE AND DAY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MISNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-316-4608
Mailing Address - Street 1:2621 5TH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-1781
Mailing Address - Country:US
Mailing Address - Phone:308-316-4608
Mailing Address - Fax:308-320-7059
Practice Address - Street 1:2621 5TH AVE STE 2.5
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-1745
Practice Address - Country:US
Practice Address - Phone:308-316-4608
Practice Address - Fax:308-320-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care