Provider Demographics
NPI:1285416511
Name:MECOMPASS MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:MECOMPASS MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:VILSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-324-2746
Mailing Address - Street 1:3049 CLEVELAND AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-7043
Mailing Address - Country:US
Mailing Address - Phone:239-296-4289
Mailing Address - Fax:
Practice Address - Street 1:3049 CLEVELAND AVE STE 140
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-7043
Practice Address - Country:US
Practice Address - Phone:239-234-0273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty