Provider Demographics
NPI:1417560350
Name:COMPASS HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:COMPASS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER AND NURSE
Authorized Official - Prefix:
Authorized Official - First Name:KHADEEJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LPN
Authorized Official - Phone:413-446-7217
Mailing Address - Street 1:20 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-3306
Mailing Address - Country:US
Mailing Address - Phone:413-446-7217
Mailing Address - Fax:
Practice Address - Street 1:20 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-3306
Practice Address - Country:US
Practice Address - Phone:413-446-7217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-29
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty